Individual provider · Type 1 NPI
Tara Ellen Koch, RN
Psychiatric/Mental Health Registered Nurse · Baraboo, WI
NPI number
1659600468
Active
Practice location
505 Broadway St
Baraboo, WI 53913-2183
Fax (608) 524-7990
Mailing address
PO Box 29
Baraboo, WI 53913-0029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 133039-030 (WI) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1659600468
Tara Ellen Koch, RN's National Provider Identifier is 1659600468, issued on Dec 8, 2009. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Baraboo, WI. The record was last updated on Dec 8, 2009.