1588969141 NPI number — MRS. ASHLEY T. MCNAMARA PA

Table of content: MRS. ASHLEY T. MCNAMARA PA (NPI 1588969141)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588969141 NPI number — MRS. ASHLEY T. MCNAMARA PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCNAMARA
Provider First Name:
ASHLEY
Provider Middle Name:
T.
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TUTWILER
Provider Other First Name:
ASHLEY
Provider Other Middle Name:
L.H.
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
PA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1588969141
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/27/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
950 E HARVARD AVE
Provider Second Line Business Mailing Address:
SUITE 550
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80210-7009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-778-6527
Provider Business Mailing Address Fax Number:
303-733-1288

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
950 E HARVARD AVE
Provider Second Line Business Practice Location Address:
SUITE 550
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80210-7009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-778-6527
Provider Business Practice Location Address Fax Number:
303-733-1288
Provider Enumeration Date:
01/12/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363AS0400X , with the licence number:  C0004418 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)