NPI 1376313148

Amanda Ann Koch, CPRS

Practitioner Peer Specialist Saint Cloud, MN

Practice location

Address: 210 5th Ave NE APT 204, Saint Cloud, MN 56304-0475
Phone: (320) 360-6004

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1376313148
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2024
Record last updated: 3 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.