Individual
KATHERINE J. ASHMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2799 W GRAND BOULEVARD, K14 CARDIOLOGY, DETROIT, MI 48202
(313) 461-9110
(313) 916-8416
Mailing address
2799 W GRAND BOULEVARD, K14 CARDIOLOGY, DETROIT, MI 48202
(313) 461-9110
(313) 916-8416
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704169669
MI
363LG0600X
Gerontology Nurse Practitioner
4704169669
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104517792
—
MI
01
—
1295023547
GROUP NPI TYPE II (MICHIGAN HEALTHCARE PROFESSIONALS, PC
MI
01
—
MI4989
GROUP MEDICARE PIN
MI
01
—
P00019217
METRAHEALTH RR
MI
Enumeration date
05/12/2006
Last updated
02/26/2021
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