Individual
MS. JULIE ANN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 UNIVERSITY DR, SUITE 102, VALPARAISO, IN 46383-2195
(219) 464-5352
(219) 464-5410
Mailing address
55 UNIVERSITY DR, SUITE 102, VALPARAISO, IN 46383-2195
(219) 464-5352
(219) 464-5410
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000001
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000486432
ANTHEM
IN
05
—
200296630
—
IN
Enumeration date
11/20/2006
Last updated
10/09/2015
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