Individual
RACHEL KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(888) 369-2427
Mailing address
2329 GERRITT ST, PHILADELPHIA, PA 19146-4106
(610) 888-2537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN694844
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP026840
PA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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