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NPI Code Detail

MEDICARE: SUSAN JILL ASHER RN, CNOR, RNFA

MEDICARE:   SUSAN JILL ASHER  RN, CNOR, RNFA
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
1163W00000XRegistered Nurse1045217KY
2163WR0006XRegistered Nurse First Assistant1045217KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000245132OTHERKYKY BC/BS

General Provider Information

NPI Number : 1093717498
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN JILL ASHER RN, CNOR, RNFA
Provider Business Mailing Address
First Line : 803 POPLAR ST
Second Line :
City : MURRAY
State : KY
Zip : 42071-2432
Country : US
Telephone Number : 270-762-2280
Fax Number : 270-762-1783
Provider Business Practice Location Address
First Line : 803 POPLAR ST
Second Line :
City : MURRAY
State : KY
Zip : 42071-2432
Country : US
Telephone Number : 270-762-2280
Fax Number : 270-762-1783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 12/05/2012

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