Individual
ASHLEY NICOLE DENBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
6210 GIBSON LN APT 7205, TEXARKANA, TX 75503-1260
(517) 937-1524
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704314170
MI
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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