Individual
MIKELLA KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
41651 SIERRA DR, THREE RIVERS, CA 93271-9678
(877) 960-3426
Mailing address
41651 SIERRA DR, THREE RIVERS, CA 93271-9678
(877) 960-3426
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95037022
CA
Other
Enumeration date
06/12/2025
Last updated
12/24/2025
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