Individual
MR. RALPH KENNETH ABLASEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
263 MCLAWS CIRCLE, SUITE 105, WILLIAMSBURG, VA 23185-5629
(757) 941-5600
(757) 564-0557
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024164829
VA
363LF0000X
Family Nurse Practitioner
0024164829
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-032
TRICARE/CHAMPUS
VA
05
—
1982869715
—
VA
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
07/21/2008
Last updated
06/11/2013
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