Individual
ASHLEY MARIE MASSENGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(929) 681-5816
Mailing address
1200 NORTH ELM ST, GREENSBORO, NC 27401
(336) 832-3220
(336) 832-3201
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
247741
NC
363LG0600X
Gerontology Nurse Practitioner
247741
NC
Other
Enumeration date
11/07/2018
Last updated
03/15/2021
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