Individual
MISS ASHLEY NICOLE SHAULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 LANCASTER AVE, DEVON, PA 19333-1503
(484) 581-2990
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 822-4355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063207
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/13/2020
Last updated
11/30/2021
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