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Individual

ASHLEY DEMATEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 703-1991
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71016728A
IN

Other

Enumeration date
06/05/2025
Last updated
07/21/2025
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