IndividualActive
Katherine Koller, APRN
NPI 1003973785 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Provo, UT
Provider details
- NPI number
- 1003973785
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 192852-4405 (UT)
Mailing address
315 S 100 E
Provo, UT 84606-4649
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.