Individual
MRS. ASHLY MARIE MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
210 WESTWOOD PL STE 110, BRENTWOOD, TN 37027-7554
(615) 206-2462
Mailing address
66 KNIGHT LN STE 10, WILLISTON, VT 05495-9308
(802) 872-4343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP143139
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000040884
—
VA
Enumeration date
10/01/2019
Last updated
04/12/2022
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