Healthcare Provider Details

I. General information

NPI: 1710665427
Provider Name (Legal Business Name): ASHLEY SARRIS DYHRKOPP NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 PIERCE ST STE 300A
SIOUX CITY IA
51104-3796
US

IV. Provider business mailing address

2730 PIERCE ST STE 300A
SIOUX CITY IA
51104-3796
US

V. Phone/Fax

Practice location:
  • Phone: 712-234-8725
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA175712
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number14778
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: