Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 71002648A | IN |
N | 363LP2300X | Nurse Practitioner - Primary Care | 71002648A | IN |
NPI | 1023277399 |
---|---|
Provider Name | Mrs. Denise Marie Ash |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-5109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2008 |
Last Update Date | 26/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00000048226 | ANTHEM BLUE CROSS AND BLUE SHIELD (01) | IN |
200986520 | (05) | IN |