Healthcare Provider Details

I. General information

NPI: 1235863119
Provider Name (Legal Business Name): ABIGAIL MCDONALD KOEHLER ACNPC-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 SMITH RD
DENVER CO
80239-3262
US

IV. Provider business mailing address

1900 LITTLE RAVEN ST APT 303
DENVER CO
80202-7168
US

V. Phone/Fax

Practice location:
  • Phone: 303-371-4804
  • Fax:
Mailing address:
  • Phone: 860-461-8497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPN.0997761-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberGAA-NP003831
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: