Individual
ASHLEY E HENTHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
(317) 963-5492
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28173731A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009283A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001312595
ANTHEM PTAN
IN
01
—
000001633739
ANTHEM PTAN
IN
01
—
000001633753
ANTHEM PTAN
IN
05
—
300031173
—
IN
Enumeration date
08/16/2019
Last updated
02/11/2025
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