Provider Demographics
NPI:1225014384
Name:ASCH, CHRISTINA ANN M (ARNP BC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:ANN M
Last Name:ASCH
Suffix:
Gender:F
Credentials:ARNP BC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4401 S HOPKINS AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32780-6679
Mailing Address - Country:US
Mailing Address - Phone:321-268-4767
Mailing Address - Fax:321-267-8765
Practice Address - Street 1:4401 S HOPKINS AVE
Practice Address - Street 2:STE 103
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32780-6679
Practice Address - Country:US
Practice Address - Phone:321-268-4767
Practice Address - Fax:321-267-8765
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP980262363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE2596XMedicare PIN
S81543Medicare UPIN