Provider Demographics
NPI:1912946328
Name:ALESHIRE, MOLLIE E (APRN)
Entity Type:Individual
Prefix:DR
First Name:MOLLIE
Middle Name:E
Last Name:ALESHIRE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILMORE
Mailing Address - State:KY
Mailing Address - Zip Code:40390-1323
Mailing Address - Country:US
Mailing Address - Phone:859-858-0339
Mailing Address - Fax:859-858-0341
Practice Address - Street 1:317 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WILMORE
Practice Address - State:KY
Practice Address - Zip Code:40390-1323
Practice Address - Country:US
Practice Address - Phone:859-858-0339
Practice Address - Fax:859-858-0341
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3004165363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78010949Medicaid
KY000000311801OtherANTHEM
KY000000311801OtherANTHEM
KYQ08380Medicare UPIN
KY0906502Medicare ID - Type Unspecified