Individual
ASHLEY RAE WALICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1097B N CHURCH ST, HAZLE TOWNSHIP, PA 18202-1465
(272) 639-5650
Mailing address
1097B N CHURCH ST, HAZLE TOWNSHIP, PA 18202-1465
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP027379
PA
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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