Provider Demographics
NPI:1124205554
Name:CORTEZ, ASH CHRISTIAN
Entity Type:Individual
Prefix:MR
First Name:ASH
Middle Name:CHRISTIAN
Last Name:CORTEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7205 WOODROW WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40228-1465
Mailing Address - Country:US
Mailing Address - Phone:502-500-4325
Mailing Address - Fax:
Practice Address - Street 1:7205 WOODROW WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40228-1465
Practice Address - Country:US
Practice Address - Phone:502-500-4325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1114782163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse