Nicole Renee Koch
Nicole Renee Koch is a Nurse Practitioner in Spring Lake, Michigan. Qualified in 2022, 4 years ago. Licensed in Michigan.
- Years since qualifying
- 4
- Licensed in
- MI
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
701 E Savidge St Ste 6Spring Lake, MI 49456-2418
Phone: (616) 259-7172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 4704284907 (MI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1912623158 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 19, 2022 |
| Last updated in NPPES | February 27, 2025 |
| Certification date | February 27, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
Other providers in Spring Lake
-
Mary Catherine-Yousif Hamati, EXPECTINGMD
19044 Rosemary Rd, Spring Lake, MI 49456-9661 · (616) 402-7966