Individual
MS. ASHLY NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
4326 SW 48TH CT, FORT LAUDERDALE, FL 33314-5645
(954) 534-1118
(954) 566-9066
Mailing address
4326 SW 48TH CT, FORT LAUDERDALE, FL 33314-5645
(954) 534-1118
(954) 566-9066
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
146749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146749
NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING
FL
Enumeration date
03/20/2014
Last updated
03/20/2014
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