Provider Demographics
NPI:1952743189
Name:ASHTER, YEKATERINA (PA)
Entity type:Individual
Prefix:MRS
First Name:YEKATERINA
Middle Name:
Last Name:ASHTER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:KAT
Other - Middle Name:
Other - Last Name:ASHTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:150 W 9TH AVE
Mailing Address - Street 2:APT 3209
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-4032
Mailing Address - Country:US
Mailing Address - Phone:917-796-8120
Mailing Address - Fax:
Practice Address - Street 1:777 BANNOCK ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4507
Practice Address - Country:US
Practice Address - Phone:917-796-8120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-30
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016756363A00000X
COPA.0004949363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant