Provider Demographics
NPI:1578632154
Name:ASCHOFF, ANN M (ARNP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:ASCHOFF
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-339-3883
Mailing Address - Fax:319-339-3882
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-339-3883
Practice Address - Fax:319-339-3882
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAH073075363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3899OtherRR MEDICARE GROUP
Q75179Medicare UPIN
71960OtherMEDICARE GROUP
P00435709OtherRR MEDICARE
I18916Medicare PIN
IA29984OtherWELLMARK
IA0764464Medicaid