Individual
ANNELYSSA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
16710 NE 9TH AVE APT 206, MIAMI, FL 33162-2529
(201) 660-2718
Mailing address
16710 NE 9TH AVE APT 206, NORTH MIAMI BEACH, FL 33162-2529
(201) 660-2718
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9339278
FL
Other
Enumeration date
09/20/2017
Last updated
04/08/2021
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