Individual
GLORIA J KOCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 567-2180
(317) 567-2191
Mailing address
PO BOX 3033, INDIANAPOLIS, IN 46206-3033
(317) 567-2180
(317) 567-2191
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28139326A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000479783
ANTHEM PROVIDER NUMBER
IN
01
—
11573406
CAQH NUMBER
IN
05
—
200176990
—
IN
01
—
9436026
PHCS PID NUMBER
IN
Enumeration date
05/10/2006
Last updated
12/04/2009
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