Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP008060 | PA |
NPI | 1497889323 |
---|---|
Provider Name | Mrs. Maria R Ash |
First Address | Wilmington, DE 19810-2251 |
Second Address | Glen Mills, PA 19342-1059 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q16844 | (02) | PA |