Individual
ASHLEY DEATS DORKOSKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8487
Mailing address
410 WEST 10TH STREET, COLUMBUS, OH 43210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN388459
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.14912-NA
OH
Other
Enumeration date
04/26/2013
Last updated
12/11/2013
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