Individual
MS. ASHLEY LIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
41 SANDERSON RD STE 206, SMITHFIELD, RI 02917-2603
(401) 349-2203
Mailing address
284 PARK AVE, WARWICK, RI 02889-5423
(781) 267-3286
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN01791
RI
Other
Enumeration date
05/01/2018
Last updated
02/04/2019
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