| NPI | 1891332284 |
|---|---|
| Former Name | ASHLEY N TEDDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004351) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11004351) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2024-01-29 |