Individual
ASHLEY KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, AGACNP
Contact information
Practice address
12451 S 192ND ST, GRETNA, NE 68028-4610
(402) 332-3936
(402) 408-2535
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
65369
NE
363L00000X
Nurse Practitioner
112244
NE
363LA2100X
Acute Care Nurse Practitioner
AP7691
AZ
Other
Enumeration date
03/09/2015
Last updated
10/19/2021
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