Individual provider · Type 1 NPI

Sally Haines Koch, FNP-BC

Family Nurse Practitioner · Charlottesville, VA

NPI number 1215523915 Active

Practice location

675 Peter Jefferson Pkwy Ste 300
Charlottesville, VA 22911-8618

Mailing address

103 Baylor Pl
Charlottesville, VA 22902-6096

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024179671 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1215523915

Sally Haines Koch, FNP-BC's National Provider Identifier is 1215523915, issued on Dec 16, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlottesville, VA. The record was last updated on Dec 16, 2020.