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Individual

ANDREA E KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
10700 HIGHWAY 55, PLYMOUTH, MN 55441-6100
(952) 213-2144
(952) 213-2184
Mailing address
10700 HIGHWAY 55, PLYMOUTH, MN 55441-6100
(952) 213-2144

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2910
MN
363LW0102X
Women's Health Nurse Practitioner
R1697315
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
861404100
MN
Enumeration date
06/22/2006
Last updated
07/14/2025
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