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NPI Code Detail

MEDICARE: MRS. ASHLEY N COAK NP

MEDICARE: MRS. ASHLEY N COAK NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner71003992AIN
2363LN0000XNeonatal Nurse Practitioner71003992AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000780058OTHERINBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497000798
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ASHLEY N COAK NP
Provider Business Mailing Address
First Line : 1468 GATEWAY TRL
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-5503
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8111 TOWNSHIP LINE RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2479
Country : US
Telephone Number : 317-415-7921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2012
Last Update Date : 01/13/2026

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Directions to “ MRS. ASHLEY N COAK NP” Practice Location

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