Fugate, Ashley Marie
Fugate, Ashley Marie is an individual health care provider with primary practice located at 2002 S 11Th St , Niles MI 49120-4074. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fugate, Ashley Marie can be contacted via phone (269) 687-0200.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28181495A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704268183 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71006097A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71006097A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71006097A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704268183 | Michigan |
Profile Details
| NPI number | 1104281583 |
|---|---|
| LBN Legal business name | Fugate, Ashley Marie |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2015 |
| Last updated | Jun 20th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104281583 | NPPES |
| Indiana | MEDICAID | 201368160 |
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