Marie Dominique Ashen
Nurse Practitioner
10755 Falls Rd Pavilion 1 Suite 360
Lutherville Timonium
, Maryland 21093-4515
Marie Dominique Ashen
Nurse Practitioner
10755 Falls Rd Pavilion 1 Suite 360
Lutherville Timonium
, Maryland 21093-4515
(410) 583-2741
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Marie Dominique Ashen
- 10755 Falls Rd Pavilion 1 Suite 360
- Lutherville Timonium, MD
- Zip : 21093-4515
- Fax : (410) 583-2741
- Phone : (410) 583-2740
Second Address
- Marie Dominique Ashen
- 10755 Falls Rd Pavilion 1 Suite 360
- Lutherville Timonium, MD
- Zip : 21093-4515
- Fax : (410) 583-2741
- Phone : (410) 583-2740
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R150082 | MD |
National Provider Identifier
| NPI | 1003871831 |
|---|---|
| Provider Name | Marie Dominique Ashen |
| First Address | Lutherville Timonium, MD 21093-4515 |
| Second Address | Lutherville Timonium, MD 21093-4515 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2006 |
| Last Update Date | 28/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 920700700 | (05) | MD |
| P54134 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.