Amanda L Koch, NP
Nurse Practitioner in Dover, DE. Individual provider (NPI-1).
NPI number1831700533
StatusActive
Last updated in NPPESJan 21, 2025
Details
- NPI
- 1831700533
- Entity type
- Individual (NPI-1)
- Name
- Amanda L Koch
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2020
- Certification date
- Jan 21, 2025
- Last updated
- Jan 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | LG-0011462 | DE | Yes |
| 363LF0000X | Nurse Practitioner, Family | LG-0011462 | DE |
Practice location
540 S Governors Ave Ste 100Dover, DE 19904-3530
Phone 302-526-1470 · Fax 302-674-1398
Mailing address
640 S State Street, Mail Code 3055Dover, DE 19901-3530
Phone 302-480-1688 · Fax 302-480-9807
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