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Individual

ASHLEY KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN, AGACNP

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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