MEDICARE: ASHLEY SARRIS DYHRKOPP NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	14778	IA
2	363LF0000X	Family Nurse Practitioner	A175712	IA

General Provider Information

NPI Number	:	1710665427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY SARRIS DYHRKOPP NP-C

Provider Business Mailing Address
First Line	:	2730 PIERCE ST STE 300A
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-3796
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2730 PIERCE ST STE 300A
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-3796
Country	:	US
Telephone Number	:	712-234-8725
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2023
Last Update Date	:	03/11/2026

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