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Individual

NANCY KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
55 JOHN A CUMMINGS WAY, WOONSOCKET, RI 02895-3247
(401) 235-7000
Mailing address
67 DOYLE AVE, PROVIDENCE, RI 02906-1705
(401) 621-7550

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN37804
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NK44129
RI
Enumeration date
09/26/2006
Last updated
07/08/2007
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