Individual
AMANDA L KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
540 S GOVERNORS AVE STE 100, DOVER, DE 19904-3530
(302) 526-1470
(302) 674-1398
Mailing address
640 S STATE STREET, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG-0011462
DE
363LF0000X
Family Nurse Practitioner
LG-0011462
DE
Other
Enumeration date
08/14/2020
Last updated
01/21/2025
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