Individual
ASHLEY SANDRA PADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
140 SHADOW LN UNIT D, ORCHARD PARK, NY 14127-2461
(315) 767-9228
Mailing address
140 SHADOW LN UNIT D, ORCHARD PARK, NY 14127-2461
(315) 767-9228
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406819
NY
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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