Provider Demographics
NPI:1912154436
Name:ANDERSON, ASHLEY DANIELLE (APRN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DANIELLE
Last Name:ANDERSON
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:DANIELLE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:2515 7TH STREET RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40208-1070
Mailing Address - Country:US
Mailing Address - Phone:502-618-0321
Mailing Address - Fax:502-618-0319
Practice Address - Street 1:2515 7TH STREET RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40208-1070
Practice Address - Country:US
Practice Address - Phone:502-618-0321
Practice Address - Fax:502-618-0319
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3005701363LW0102X, 363LP0808X, 363L00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000932987OtherANTHEM
KY4194917OtherAETNA
KY50096317OtherPASSPORT
KY7100058120Medicaid
KY000000932987OtherANTHEM