Ashen, Marie Dominique

Ashen, Marie Dominique is an individual health care provider with primary practice located at 10755 Falls Rd Pavilion 1 Suite 360, Lutherville Timonium MD 21093-4515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ashen, Marie Dominique can be contacted via phone (410) 583-2740.

Contact Information

Primary practice address
10755 Falls Rd Pavilion 1 Suite 360 Lutherville Timonium MD 21093-4515
Phone: (410) 583-2740
Fax: (410) 583-2741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R150082 Maryland

Profile Details

NPI number 1003871831
LBN Legal business name Ashen, Marie Dominique
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jan 28th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003871831 NPPES
Maryland MEDICAID 920700700

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