Provider Demographics
NPI:1689421455
Name:ASHER, ESSILENE MICHELLE
Entity type:Individual
Prefix:
First Name:ESSILENE
Middle Name:MICHELLE
Last Name:ASHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 PLEASANT VIEW RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40962-4997
Mailing Address - Country:US
Mailing Address - Phone:606-658-9240
Mailing Address - Fax:
Practice Address - Street 1:74 PLEASANT VIEW RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40962-4997
Practice Address - Country:US
Practice Address - Phone:606-391-8799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker