Individual
ASHLEY VALIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
53 BROAD ST, CHARLESTON, SC 29401-2954
(843) 789-4668
Mailing address
53 BROAD ST, CHARLESTON, SC 29401-2954
(843) 789-4668
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
24426
SC
363LG0600X
Gerontology Nurse Practitioner
24426
SC
Other
Enumeration date
05/19/2021
Last updated
06/04/2025
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