NPI | 1093102899 |
---|---|
Former Name | ASHLEY RENEE SPRADLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026059) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015011468) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277.001526) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 377.001484) | |
Enumeration Date | 2015-04-20 |
Last Update Date | 2023-06-21 |