Individual
ASHLEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1918 HIKES LN STE 102, LOUISVILLE, KY 40218-2598
(502) 473-4077
(502) 473-4067
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(502) 473-4077
(502) 473-4067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012650
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3012650
STATE LICENSE
KY
Enumeration date
11/02/2018
Last updated
10/21/2021
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