MR. NICHOLAS BRENT KOCH AGPCNP-BC NPI 1750162780

NPI Information

NPI: 1750162780
Provider Name: MR. NICHOLAS BRENT KOCH, AGPCNP-BC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
3170 N SHERIDAN RD APT 919
CHICAGO, IL
ZIP 60657
Phone: (414) 708-6656
Get Directions

MR. Nicholas Brent Koch, AGPCNP-BC is a primary care nurse practitioner in Chicago, IL. MR. Nicholas Brent Koch, AGPCNP-BC NPI is 1750162780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3170 N SHERIDAN RD APT 919
CHICAGO, IL
ZIP 60657-882
Phone: (414) 708-6656

The enumeration date for this NPI number is 10/5/2023 and was last updated on 10/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	209.028387	ILLINOIS	No
2	363LP2300X	Nurse Practitioner	Primary Care	209.028387	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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