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NPI Code Detail

MEDICARE: ASHLEY GERK

MEDICARE: ASHLEY GERK
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
1363LF0000XFamily Nurse PractitionerAPN.0992617-NPCO

General Provider Information

NPI Number : 1104363902
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY GERK
Provider Business Mailing Address
First Line : PO BOX 932958
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12167 SHERIDAN BLVD
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-2417
Country : US
Telephone Number : 303-658-9807
Fax Number : 303-658-9808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2017
Last Update Date : 03/31/2025

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Directions to “ ASHLEY GERK ” Practice Location

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