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Individual

ASHLEY ELIZABETH MORAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1200 BRECKENRIDGE ST, OWENSBORO, KY 42303-1090
(270) 683-8672
(270) 685-8223
Mailing address
1200 BRECKENRIDGE ST, OWENSBORO, KY 42303-1089
(270) 684-0028
(270) 685-8233

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012453
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100558020
KY
01
K264950
MEDICARE ID
KY
Enumeration date
06/01/2018
Last updated
02/16/2022
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