NPI | 1033506415 |
---|---|
Former Name | ASHLEY J. PEASINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111789) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 59739) |
363LF0000X Nurse Practitioner, Family (Licence: NE 111789) | |
Enumeration Date | 2015-04-23 |
Last Update Date | 2022-07-21 |