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Individual

ASHLEY M LYONS-VALENTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, APN

Contact information

Practice address
390 N BROADWAY, CONCORDE PROFESSIONAL BLDG., SUITE 100, PENNSVILLE, NJ 08070-1253
(856) 678-6411
(856) 678-7509
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
NJ00025300
NJ
363L00000X
Nurse Practitioner
Primary
26NJ00025300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0479412001
AMERIHEALTH GRP #
NJ
05
7209908
NJ
Enumeration date
12/03/2007
Last updated
07/29/2019
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