Provider Demographics
NPI:1265825707
Name:KOCH, ASHLEY (RN, BSN, AGACNP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:KOCH
Suffix:
Gender:F
Credentials:RN, BSN, AGACNP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:STREHLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AGACNP
Mailing Address - Street 1:988102 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-8102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12451 S 192ND ST
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-4610
Practice Address - Country:US
Practice Address - Phone:402-332-3936
Practice Address - Fax:402-408-2535
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112244363L00000X
AZAP7691363LA2100X
NE65369163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care