Koch, Olivia Lisette

Koch, Olivia Lisette is an individual health care provider with primary practice located at 536 N Webster St , Port Washington WI 53074-1538. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Koch, Olivia Lisette can be contacted via phone (520) 508-1232.

Contact Information

Primary practice address

536 N Webster St Port Washington WI 53074-1538

Phone: (520) 508-1232

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health	363LP0808X	18394-33	Wisconsin

Profile Details

NPI number	1659202752
LBN Legal business name	Koch, Olivia Lisette
Credentials	PMHNP
Entity	Individual
Sole proprietor ¹	No
Enumeration date	May 27th, 2026
Last updated	May 27th, 2026 - about 6 months ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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