Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | APN.0992704-NP | CO |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APN.0992704-NP | CO |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 111747 | NE |
N | 363LF0000X | Nurse Practitioner - Family Medicine | C-APN.0000395-C-NP | CO |
NPI | 1083017024 |
---|---|
Provider Name | Mrs. Amber D Kohler |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2014 |
Last Update Date | 04/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
027711 | KAISER COMMERCIAL NUMBER (01) | CO |