Basic Information
Provider Information
NPI: 1003477506
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASHER
FirstName: CHRISTINE
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: PMHNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 560 W BROADWAY ST
Address2:  
City: TIPP CITY
State: OH
PostalCode: 453711204
CountryCode: US
TelephoneNumber: 9379017817
FaxNumber:  
Practice Location
Address1: 3130 N COUNTY ROAD 25A
Address2:  
City: TROY
State: OH
PostalCode: 453731337
CountryCode: US
TelephoneNumber: 9374407626
FaxNumber: 9374407702
Other Information
ProviderEnumerationDate: 06/25/2019
LastUpdateDate: 09/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP0808XRN180645OHN Nursing Service ProvidersRegistered NursePsych/Mental Health
363LP0808XAPRN.CNP.02OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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