Individual
MRS. ASHLEY RENEE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
8111 S EMERSON AVE STE 104, INDIANAPOLIS, IN 46237-8601
(317) 781-7391
(317) 887-5637
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71002523A
IN
363LF0000X
Family Nurse Practitioner
Primary
71002523A
IN
363LP0200X
Pediatric Nurse Practitioner
71002523A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201142800
—
IN
Enumeration date
06/24/2008
Last updated
10/11/2023
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