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NPI Code Detail

MEDICARE: MRS. DAVIDA LEE ASHER LPN

MEDICARE: MRS. DAVIDA LEE ASHER LPN
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
1164W00000XLicensed Practical NursePN018579MO

General Provider Information

NPI Number : 1376977355
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAVIDA LEE ASHER LPN
Provider Business Mailing Address
First Line : 1301 VANDIVER DR STE Y
Second Line :
City : COLUMBIA
State : MO
Zip : 65202-3918
Country : US
Telephone Number : 573-449-8338
Fax Number : 573-449-8344
Provider Business Practice Location Address
First Line : 1301 VANDIVER DR STE Y
Second Line :
City : COLUMBIA
State : MO
Zip : 65202-3918
Country : US
Telephone Number : 573-449-8338
Fax Number : 573-449-8344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2013
Last Update Date : 08/27/2013

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Directions to “ MRS. DAVIDA LEE ASHER LPN” Practice Location

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