Provider Demographics
NPI:1073926085
Name:KOCH, SARAH LYNN (RN, ACNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:KOCH
Suffix:
Gender:F
Credentials:RN, ACNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LYNN
Other - Last Name:MESSERLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-7208
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6201 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-0001
Practice Address - Country:US
Practice Address - Phone:214-645-7500
Practice Address - Fax:214-645-7501
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP115144363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner