Individual
ASHLI KUBISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Mailing address
10350 TRAIL RIDGE DR, BENBROOK, TX 76126-9526
(817) 805-7766
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
805192
TX
367A00000X
Advanced Practice Midwife
1099339
TX
Other
Enumeration date
09/20/2022
Last updated
01/18/2023
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