Healthcare Provider Details

I. General information

NPI: 1467902692
Provider Name (Legal Business Name): ASHLEY B. CIOCHON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY B. CORCORAN APRN

II. Dates (important events)

Enumeration Date: 10/12/2016
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16101 EVANS ST
OMAHA NE
68116-6447
US

IV. Provider business mailing address

7261 MERCY RD
OMAHA NE
68124-2311
US

V. Phone/Fax

Practice location:
  • Phone: 402-717-9797
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA165158
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number112135
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: