Debra Koch
Nurse Practitioner - Neonatal
18101 Oakwood Blvd Dept Of Neonatology
Dearborn
, Michigan 48124-4089
Debra Koch
Nurse Practitioner - Neonatal
18101 Oakwood Blvd Dept Of Neonatology
Dearborn
, Michigan 48124-4089
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Debra Koch
- 18101 Oakwood Blvd Dept Of Neonatology
- Dearborn, MI
- Zip : 48124-4089
- Phone :
Second Address
- Debra Koch
- 18101 Oakwood Blvd Dept Of Neonatology
- Dearborn, MI
- Zip : 48124-4089
- Phone : (313) 593-7490
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 4704143015 | MI |
National Provider Identifier
| NPI | 1205975281 |
|---|---|
| Provider Name | Debra Koch |
| First Address | Dearborn, MI 48124-4089 |
| Second Address | Dearborn, MI 48124-4089 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2007 |
| Last Update Date | 08/12/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4704143015 | LICENSE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.