Individual
ASHLEY N WEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
109 N BROADWAY ST, SOUTH WEST CITY, MO 64863-9417
(417) 762-3287
(417) 762-3255
Mailing address
109 N BROADWAY ST, SOUTH WEST CITY, MO 64863-9417
(417) 762-3287
(417) 762-3255
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2021038566
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
436809082
FEIN
MO
Enumeration date
11/10/2021
Last updated
08/17/2023
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