Provider Demographics
NPI:1447211669
Name:KOCH, ALLISON R (CNM)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:R
Last Name:KOCH
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:WOMEN'S BIRTH & WELLNESS CENTER
Mailing Address - Street 2:930 MARTIN LUTHER KING JR. BLVD., STE 202
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2656
Mailing Address - Country:US
Mailing Address - Phone:919-933-3301
Mailing Address - Fax:919-933-3375
Practice Address - Street 1:WOMEN'S BIRTH & WELLNESS CENTER
Practice Address - Street 2:930 MARTIN LUTHER KING JR. BLVD., STE 202
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2656
Practice Address - Country:US
Practice Address - Phone:919-933-3301
Practice Address - Fax:919-933-3375
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC222092163W00000X
NC409367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYIA0781Medicare ID - Type Unspecified
NYQ46592Medicare UPIN
NYQ46592Medicare UPIN