Provider Demographics
NPI:1225621493
Name:ASHLEY, KARIN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 23RD ST # 189
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-2780
Mailing Address - Country:US
Mailing Address - Phone:402-302-2082
Mailing Address - Fax:
Practice Address - Street 1:118 23RD ST # 189
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-2780
Practice Address - Country:US
Practice Address - Phone:402-302-2082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-18
Last Update Date:2022-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112327363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health