| Natalie Nicole Koch, RD, LDN | |
| 
					1523 Edge Hill Rd, Abington, PA 19001-2609  | |
| (267) 982-4352 | |
| Not Available | 
| Full Name | Natalie Nicole Koch | 
|---|---|
| Gender | Female | 
| Speciality | Dietitian, Registered | 
| Location | 1523 Edge Hill Rd, Abington, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952001604 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN007952 (Pennsylvania) | Primary | 
| Provider Name | Primary Prevention Center Pllc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1750002812 PECOS PAC ID: 6103298443 Enrollment ID: O20230214001709  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Natalie Nicole Koch, RD, LDN 742 Buttonwood Ave, Langhorne, PA 19047-5905 Ph: (215) 539-0977  | Natalie Nicole Koch, RD, LDN 1523 Edge Hill Rd, Abington, PA 19001-2609 Ph: (267) 982-4352  | 
Nicole Carl, MSCN, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1523 Edge Hill Rd, Abington, PA 19001 Phone: 215-961-7045  | |
Klasik Nutrition Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1523 Edge Hill Rd, Abington, PA 19001 Phone: 215-961-7045  | |
Samantha Cutrona, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1523 Edge Hill Rd, Abington, PA 19001 Phone: 267-982-4379  |