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

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X133039-030 (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.