Individual
ASHLI NICOLE INDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
4907 MONUMENT RD, PHILADELPHIA, PA 19131-2606
(815) 210-5222
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR20846100
NJ
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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