Provider Demographics
NPI:1609854314
Name:ASHE, ELIZABETH DENTON (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:DENTON
Last Name:ASHE
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:STE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:250 S MAIN ST STE 224A
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-4726
Practice Address - Country:US
Practice Address - Phone:540-552-7133
Practice Address - Fax:540-552-7143
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0110001611363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1609854314OtherMEDICAID QMB
VA1609854314OtherUMWA
VA1609854314OtherHUMANA MEDICARE
VA540506332115OtherTRICARE/CHAMPUS
VA1609854314OtherOPTIMA HEALTH PLAN
VA489585OtherANTHEM MEDIGAP
VA1609854314OtherAETNA
VA1609854314OtherSOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
VA1609854314OtherINTOTAL
VA371194700OtherBLACK LUNG
VA1609854314OtherINTOTAL
VAVV9288AMedicare PIN