Provider Demographics
NPI:1427736925
Name:MILCAREK, ASHLEY JEAN (DNP FNP-C)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:JEAN
Last Name:MILCAREK
Suffix:
Gender:F
Credentials:DNP FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2565 S NOWAK DR
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46350-8160
Mailing Address - Country:US
Mailing Address - Phone:219-369-7787
Mailing Address - Fax:
Practice Address - Street 1:6923 W 400 N
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-9198
Practice Address - Country:US
Practice Address - Phone:219-325-0604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71014085A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily