Provider Demographics
NPI:1336731918
Name:BENKE, ASHLEE L (ARNP)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:L
Last Name:BENKE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:
Other - Last Name:GAST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8558 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-7032
Mailing Address - Country:US
Mailing Address - Phone:219-392-7084
Mailing Address - Fax:219-703-6854
Practice Address - Street 1:3800 SAINT MARY RD STE 202
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-3986
Practice Address - Country:US
Practice Address - Phone:219-286-3788
Practice Address - Fax:219-286-3791
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61131757363LA2100X
IN71012466A363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care