Roark, Ashley
Roark, Ashley is an sole proprietor health care provider with primary practice located at 4225 Lapalco Blvd , Marrero LA 70072-4324. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Roark, Ashley can be contacted via phone (504) 371-9355.Contact Information
Primary practice address
4225 Lapalco Blvd
Marrero LA 70072-4324
Phone: (504) 371-9355
Fax: (504) 371-9343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP08900 | Louisiana |
Profile Details
| NPI number | 1497106876 |
|---|---|
| LBN Legal business name | Roark, Ashley |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2016 |
| Last updated | Mar 16th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497106876 | NPPES |
| Mississippi | MEDICAID | 09388574 | |
| Mississippi | MEDICAID | 2426435 |
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