Individual
ASHLEY WALORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1919 LAKE AVE STE 102, PLYMOUTH, IN 46563-7830
(574) 335-5220
Mailing address
707 CEDAR ST STE 405, SOUTH BEND, IN 46617-2059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28215400A
IN
363LF0000X
Family Nurse Practitioner
Primary
71014272A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103682960
ANTHEM
IN
05
—
300080528
—
IN
Enumeration date
07/31/2023
Last updated
11/09/2023
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