Individual
ASHLEE N PRUSYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1400 S LAKE PARK AVE STE 500, HOBART, IN 46342-6791
(219) 942-7299
(219) 947-6624
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71016625A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105180260
ANTHEM
IN
05
—
300112814
—
IN
Enumeration date
04/21/2025
Last updated
06/12/2025
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