Provider Demographics
NPI:1083017024
Name:KOHLER, AMBER D (APRN NP-C)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:D
Last Name:KOHLER
Suffix:
Gender:F
Credentials:APRN NP-C
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:D
Other - Last Name:ECCLESTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN NP-C
Mailing Address - Street 1:PO BOX 110429
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80042-0429
Mailing Address - Country:US
Mailing Address - Phone:303-493-7000
Mailing Address - Fax:
Practice Address - Street 1:12605 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2545
Practice Address - Country:US
Practice Address - Phone:720-848-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-05
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0992704-NP363LC0200X, 363LA2200X
COC-APN.0000395-C-NP363LF0000X
NE111747363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO027711OtherKAISER COMMERCIAL NUMBER
CO027711OtherKAISER COMMERCIAL NUMBER