Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TARA ELLEN KOCH, RN
Active Sole ProprietorChild & Adolescent Psychiatric Nurse · BARABOO, WI
Registration Details
- NPI Number
- 1659600468
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 8, 2009 (16.402112452755 yrs)
- Last Updated
- Dec 8, 2009
- License
-
133039-030 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
505 BROADWAY STBARABOO, WI, 539132183Browse WI providers · Browse ZIP 53913
- Phone
- 6083554200
- Fax
- 6085247990
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Other Child & Adolescent Psychiatric Nurse Providers in BARABOO, WI
| Name | Credential | NPI |
|---|---|---|
| ANDREW GORSUCH | — | 1245496066 |
| DAWN THOMPSON | R.N. | 1124560263 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.