Individual
ASHLEY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 19TH ST S, LHRB 509, BIRMINGHAM, AL 35233-1926
(205) 996-0882
Mailing address
1780 CHACE DR, HOOVER, AL 35244-3708
(256) 762-7544
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-143722
AL
363LG0600X
Gerontology Nurse Practitioner
1-143722
AL
Other
Enumeration date
10/06/2016
Last updated
02/01/2024
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