National Provider Identifier
Stacy Koch, RN, CCRN
Stacy Koch, RN, CCRN is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist in Clarence, NY and a listed phone number of (716) 759-7717.
Profile Overview
- NPI
- 1104291798
- Provider Type
- Individual
- Primary Specialty
- Certified Registered Nurse Anesthetist
- Enumeration Date
- December 08, 2015
- Last Updated
- May 23, 2019
Practice Location
- 9665 Rocky PT
- Clarence, NY 14031-1588
Phone: (716) 759-7717
Specialties
- Certified Registered Nurse Anesthetist (367500000X)
Full Record
- NPI
- 1104291798
- Entity Type
- Individual
- Last Name
- Koch
- First Name
- Stacy
- Credential
- RN, CCRN
- Mailing Street Address
- 9665 Rocky PT
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14031-1588
- Mailing Country
- US
- Practice Street Address
- 9665 Rocky PT
- Practice City
- Clarence
- Practice State
- NY
- Practice ZIP Code
- 14031-1588
- Practice Country
- US
- Practice Phone
- (716) 759-7717
- Enumeration Date
- December 08, 2015
- Last Updated
- May 23, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Certified Registered Nurse Anesthetist (367500000X)