IndividualActive
Brooke Koch
NPI 1174469118 · Certified Registered Nurse Anesthetist · Waterloo, IA
Provider details
- NPI number
- 1174469118
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 159404 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1825 Logan Ave
Waterloo, IA 50703-1916
Phone: (319) 235-3941
Approximate (ZIP-level) locationGet directions
Mailing address
2104 Kimball Ave
Waterloo, IA 50702-5037
Registry dates
- Enumerated
- 2026-04-23
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.