Doctor Name: | DIANE ASHER |
NPI Number: | 1003286303 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4704268516 |
Business Practice Address: | 39350 9 Mile Rd Northville, MI - 481679164 |
Business Phone Number: | 8663892727 |
Business Fax Number: | |
Mailing Address: | 111 1/2 E Ann St, ANN ARBOR |
State: | MI |
Postal Code: | 481041414 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/29/2015 |
NPI Last Update Date: | 09/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704268516 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |