| NPI | 1508256074 | 
|---|---|
| Former Name | ASHLEY R WAHLFELDT | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5007456)  | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5007456)  | 
| Enumeration Date | 2015-02-04 | 
| Last Update Date | 2025-04-11 |