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Individual

MRS. ELIZABETH DENTON ASHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
250 S MAIN ST STE 224A, BLACKSBURG, VA 24060-4726
(540) 552-7133
(540) 552-7143
Mailing address
1115 BOULDERS PKWY, STE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001611
VA
363AS0400X
Surgical Physician Assistant
0110001611
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1609854314
MEDICAID QMB
VA
01
371194700
BLACK LUNG
VA
01
489585
ANTHEM MEDIGAP
VA
01
540506332115
TRICARE/CHAMPUS
VA
Enumeration date
01/03/2006
Last updated
02/22/2021
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