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Individual

MRS. ASHLEY CARMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
615 SWANN AVE, APT 116, ALEXANDRIA, VA 22301-1428
(724) 309-8033
Mailing address
615 SWANN AVE, APT 116, ALEXANDRIA, VA 22301-1428
(724) 309-8033

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1268702
VA
363L00000X
Nurse Practitioner
Primary
0024176312
VA

Other

Enumeration date
05/01/2017
Last updated
09/19/2018
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