Individual
MRS. ASHLEY MARIE MAHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
5402 ALLISONVILLE RD, INDIANAPOLIS, IN 46220-5547
(317) 679-3031
Mailing address
5402 ALLISONVILLE RD, INDIANAPOLIS, IN 46220-5547
(176) 793-0313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28195214A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006470A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201382790
—
IN
01
—
266180K27
MEDICARE IND. PTAN
IN
01
—
Q00244628
RAILROAD MEDICARE
IN
Enumeration date
02/13/2016
Last updated
01/19/2024
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