Healthcare Provider Details
I. General information
NPI: 1942676929
Provider Name (Legal Business Name): ASHLEY DOEPKER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/13/2015
Last Update Date: 10/18/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4660 YOSEMITE ST STE 100
DENVER CO
80238-4481
US
IV. Provider business mailing address
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US
V. Phone/Fax
- Phone: 720-516-8902
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 0200641 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APN.0991986-NP |
| License Number State | CO |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APN.0991986-NP |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: