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Individual

ASHLEY CUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
801 E MAIN ST, RADFORD, VA 24142-0001
(540) 831-5111
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5353

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0001217039
VA
363LA2200X
Adult Health Nurse Practitioner
0024173864
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024173864
VA
363LP2300X
Primary Care Nurse Practitioner
0001217039
VA

Other

Enumeration date
07/07/2016
Last updated
05/09/2025
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