Individual
ASHLEY NICOLE MERRIFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
920 PLANTATION RD STE 104, BLACKSBURG, VA 24060-3837
(540) 552-1904
(540) 552-2201
Mailing address
920 PLANTATION RD STE 104, BLACKSBURG, VA 24060-3837
(540) 552-1904
(540) 552-2201
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001516
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154767093
—
VA
01
—
Q43823A
PTAN
VA
Enumeration date
05/20/2013
Last updated
02/12/2015
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