Individual
ASHLEY MARIE LAVALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
380 CREIGHTON RD., MALONE, NY 12953
(518) 483-2600
(518) 483-0115
Mailing address
380 CREIGHTON ROAD, MALONE, NY 12953
(518) 483-2600
(518) 483-0115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
631948-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401870
NY
Other
Enumeration date
10/13/2011
Last updated
01/11/2017
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