Individual
MS. ASHLEY DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 REVELLA ST, ROCHESTER, NY 14609-3708
(585) 690-7313
Mailing address
101 REVELLA ST, ROCHESTER, NY 14609-3708
(585) 690-7313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
729473-1
NY
163WM0705X
Medical-Surgical Registered Nurse
729473-1
NY
Other
Enumeration date
01/08/2019
Last updated
04/02/2019
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