Individual provider · Type 1 NPI

Diane M. Koch, NP

Nurse Practitioner · Urbana, IL

NPI number 1417027145 Active

Practice location

611 W. Park St.
Urbana, IL 61801-2500

Fax (217) 383-4966

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209001138 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1417027145

Diane M. Koch, NP's National Provider Identifier is 1417027145, issued on Nov 9, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Urbana, IL. The record was last updated on Apr 20, 2015.