Individual provider · Type 1 NPI

Alice Koech, A-GNP-C

Nurse Practitioner · Roseburg, OR

NPI number 1669105656 Active

Practice location

1700 NW Garden Valley Blvd Ste 201
Roseburg, OR 97471-1636

Mailing address

1117 W Young St
Elma, WA 98541-9090

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XAP61327739 (WA)
Gerontology Nurse Practitioner 363LG0600XAP61327739 (WA)
Primary Care Nurse Practitioner 363LP2300XAP61327739 (WA)
Nurse Practitioner Primary 363L00000X10000878 (OR)

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 1669105656

Alice Koech, A-GNP-C's National Provider Identifier is 1669105656, issued on Jul 6, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Roseburg, OR. The record was last updated on Jan 9, 2023.