Individual
ASHLYN CLAY DIFREDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30 E APPLE ST STE 6252, DAYTON, OH 45409-2939
(937) 208-6730
(770) 420-3422
Mailing address
30 E APPLE ST STE 6252, DAYTON, OH 45409-2939
(937) 208-6730
(770) 420-3422
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0036367
OH
363LF0000X
Family Nurse Practitioner
RN267756
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.534014
RN LICENSURE
OH
01
—
RN267756
RN LICENSE
GA
Enumeration date
03/28/2019
Last updated
06/17/2024
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