Individual
ASHLEY TATE MOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
500 W MAIN ST, LEWISVILLE, TX 75057-3641
(469) 370-2000
Mailing address
818 KENNEDY DR, ALLEN, TX 75013-6536
(469) 667-6901
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1031611
TX
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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