Individual
MARIE DOMINIQUE ASHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
10755 FALLS RD, PAVILION 1 SUITE 360, LUTHERVILLE TIMONIUM, MD 21093-4515
(410) 583-2740
(410) 583-2741
Mailing address
10755 FALLS RD, PAVILION 1 SUITE 360, LUTHERVILLE TIMONIUM, MD 21093-4515
(410) 583-2740
(410) 583-2741
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R150082
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
920700700
—
MD
Enumeration date
04/17/2006
Last updated
01/28/2014
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