Individual
MS. ASHLEY E. CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
555 QUALITY CT, WRIGHTSTOWN, WI 54180-9006
(920) 532-6320
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3222-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114744
NATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS
—
Enumeration date
09/25/2013
Last updated
05/05/2020
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