Individual
MS. ASHLEY IMGRUND-FLORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, LAT, ATC, PA
Contact information
Practice address
738 NEWMAN RD, NEW BERN, NC 28562-5238
(252) 634-2676
(252) 637-4479
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 634-2676
(252) 637-4479
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
LAT-1932
NC
363A00000X
Physician Assistant
Primary
0010-06896
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TYPE 22
RESPIRATORY, REHABILITATIVE, & RESTORATIVE SERVICE PROVIDERS
NC
Enumeration date
12/18/2015
Last updated
03/29/2023
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