Provider Demographics
NPI:1235863119
Name:KOEHLER, ABIGAIL (ACNPC-AG)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:KOEHLER
Suffix:
Gender:F
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 LITTLE RAVEN ST APT 303
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-7168
Mailing Address - Country:US
Mailing Address - Phone:860-461-8497
Mailing Address - Fax:
Practice Address - Street 1:1900 LITTLE RAVEN ST APT 303
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-7168
Practice Address - Country:US
Practice Address - Phone:860-461-8497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997761-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care