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Individual

ASHLEY TANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4402 CHURCHMAN AVE, STE 409, LOUISVILLE, KY 40215-1190
(502) 368-9561
(502) 882-1263
Mailing address
4402 CHURCHMAN AVE, STE 409, LOUISVILLE, KY 40215-1190
(502) 368-9561
(502) 882-1263

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
3008801
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100407370
KY
Enumeration date
10/14/2014
Last updated
10/25/2016
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