Provider Demographics
NPI:1891367942
Name:KOCH, APRIL (CRP)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:KOCH
Suffix:
Gender:F
Credentials:CRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 CRESCENT ST STE 202
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-3425
Mailing Address - Country:US
Mailing Address - Phone:919-765-8744
Mailing Address - Fax:
Practice Address - Street 1:2250 SHIPYARD BLVD STE 6
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-8070
Practice Address - Country:US
Practice Address - Phone:866-588-0977
Practice Address - Fax:833-314-0393
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2020-3032-01175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist