Individual
ASHLEY WIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
351 EXECUTIVE PKWY, ROCKFORD, IL 61107-5339
(815) 398-4057
Mailing address
351 EXECUTIVE PKWY, ROCKFORD, IL 61107-5339
(815) 398-4057
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
209027934
IL
363LF0000X
Family Nurse Practitioner
Primary
209027934
IL
Other
Enumeration date
08/04/2023
Last updated
12/28/2023
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