Tant, Ashley

Tant, Ashley is an individual health care provider with primary practice located at 4402 Churchman Ave Ste 409, Louisville KY 40215-1190. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Tant, Ashley can be contacted via phone (502) 368-9561.

Contact Information

Primary practice address
4402 Churchman Ave Ste 409 Louisville KY 40215-1190
Phone: (502) 368-9561
Fax: (502) 882-1263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 3008801 Kentucky

Profile Details

NPI number 1972907327
LBN Legal business name Tant, Ashley
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2014
Last updated Oct 25th, 2016 - about 8 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 1972907327 NPPES
Kentucky MEDICAID 7100407370

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