Individual
ASHLEIGH D. GENTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
20150001941
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
53-81635
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427437185
—
MO
Enumeration date
05/27/2015
Last updated
10/18/2022
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