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Individual
MRS. ANITA R. KOCH
Active
Individual
MRS. ANITA R. KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CNS
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN. 226436
OH
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
NS09826
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000955776
ANTHEM BSBS
OH
05
—
2916518
—
OH
01
—
H155462
MEDICARE PTAN
OH
Enumeration date
10/31/2008
Last updated
06/22/2017
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