Individual
ASHLEY GILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2320 SHATTUCK RD, SAGINAW, MI 48603-3337
(989) 666-1585
Mailing address
2320 SHATTUCK RD, SAGINAW, MI 48603-3337
(989) 666-1585
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115653
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703115653
LPN
MI
Enumeration date
05/13/2016
Last updated
05/13/2016
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