Individual
ASHLEY NICOLE COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
24 DRUMMERS LN, BETHEL, CT 06801-2019
(865) 693-0175
Mailing address
24 DRUMMERS LN, BETHEL, CT 06801-2019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23.005357
CT
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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