Individual
AMIE MARIE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2398
(919) 956-4000
Mailing address
2000 REDFERN WAY, DURHAM, NC 27707-1479
(919) 451-6720
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5004163
NC
363LF0000X
Family Nurse Practitioner
Primary
5004163
NC
Other
Enumeration date
01/14/2009
Last updated
06/07/2023
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