Individual
ASHLEY NICOLE MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3086 35TH ST APT 2A, ASTORIA, NY 11103-4707
(631) 721-7831
Mailing address
3086 35TH ST APT 2A, ASTORIA, NY 11103-4707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
311529
NY
363LA2200X
Adult Health Nurse Practitioner
F311529
NY
Other
Enumeration date
03/01/2024
Last updated
03/18/2024
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