NPI | 1790072254 |
---|---|
Former Name | ASHLEY WORDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177881) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN615194) |
363L00000X Nurse Practitioner (Licence: PA SP010962) | |
363LF0000X Nurse Practitioner, Family (Licence: NY 337934) | |
Enumeration Date | 2011-07-06 |
Last Update Date | 2021-07-16 |