Provider Demographics
NPI:1881690444
Name:SNELLEN, ASHLEY N (MSN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:N
Last Name:SNELLEN
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 OAK PARK DR
Mailing Address - Street 2:
Mailing Address - City:MT WASHINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40047-7293
Mailing Address - Country:US
Mailing Address - Phone:502-538-0285
Mailing Address - Fax:
Practice Address - Street 1:2412 RING RD
Practice Address - Street 2:STE 100
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-5912
Practice Address - Country:US
Practice Address - Phone:270-737-2273
Practice Address - Fax:270-735-9087
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4162P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000332075OtherANTHEM
KY50004349OtherPASSPORT
KY78011525Medicaid
KYP00146165OtherRAILROAD MEDICARE
KY7939537OtherAETNA
KY50004349OtherPASSPORT
KY0715614Medicare ID - Type Unspecified