Individual
ASHLEY N FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
250 S 21ST ST, EASTON, PA 18042-3851
(610) 250-4303
(610) 250-4804
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(888) 709-4485
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14352600
NJ
163W00000X
Registered Nurse
4704255805
MI
163W00000X
Registered Nurse
615936-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
RN604134
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091012
AANA NUMBER
PA
Enumeration date
10/19/2012
Last updated
12/03/2012
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