Diedrich, Ashley L

Diedrich, Ashley L is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Diedrich, Ashley L can be contacted via phone (920) 433-3605.

Contact Information

Primary practice address
744 S Webster Ave Green Bay WI 54301-3505
Phone: (920) 433-3605
Fax: (920) 433-3589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 26 Wisconsin

Profile Details

NPI number 1386748911
LBN Legal business name Diedrich, Ashley L
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 31st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386748911 NPPES
Other 748 NATIONAL COMMISSION CERTIFICATION ANESTHESIA ASSISTANTS

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