Individual
ASHLEY LAINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
228 PARK AVE S, STE 16389, NEW YORK, NY 10003-1502
(646) 876-8455
(833) 314-0246
Mailing address
228 PARK AVE S STE 16389, NEW YORK, NY 10003-1502
(646) 876-8455
(833) 314-0246
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
149538
TN
363LF0000X
Family Nurse Practitioner
Primary
0000012721
TN
Other
Enumeration date
04/18/2007
Last updated
09/26/2023
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