Individual
MRS. ASHLEY N COAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2479
(317) 415-7921
Mailing address
1468 GATEWAY TRL, FORT WAYNE, IN 46845-5503
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71003992A
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71003992A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000780058
BCBS
IN
05
—
201085730
—
IN
Enumeration date
07/23/2012
Last updated
01/13/2026
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