Provider Demographics
NPI:1952738460
Name:NASEMAN, ASHLINN (CNP)
Entity Type:Individual
Prefix:
First Name:ASHLINN
Middle Name:
Last Name:NASEMAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ASHLINN
Other - Middle Name:
Other - Last Name:KIPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:205 E PALMER RD
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-2281
Mailing Address - Country:US
Mailing Address - Phone:937-651-6518
Mailing Address - Fax:937-592-0934
Practice Address - Street 1:205 E PALMER RD
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-2281
Practice Address - Country:US
Practice Address - Phone:937-651-6945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-28
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029259363LG0600X
OH86005375133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered