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Individual

ALEXANDRA CHRISTINE KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196588-30
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
13118-33
WI

Other

Enumeration date
08/13/2022
Last updated
10/10/2022
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