Provider Demographics
NPI:1326679572
Name:KOEHLER, ASHLY JULIET (MSN, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLY
Middle Name:JULIET
Last Name:KOEHLER
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 E WARM SPRINGS RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4242
Mailing Address - Country:US
Mailing Address - Phone:702-602-5250
Mailing Address - Fax:
Practice Address - Street 1:320 E WARM SPRINGS RD UNIT 1
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4243
Practice Address - Country:US
Practice Address - Phone:702-602-5250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV828341363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health