| 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 Psychiatric/Mental Health (Licence: IL 277.001526) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 377.001484) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2023-06-21 |