Individual
MRS. ASHLEY ELIZABETH EBENEZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-3000
Mailing address
2874 W WELLINGTON LN, FRESNO, CA 93711-1162
(615) 708-1790
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
95047520
CA
363LF0000X
Family Nurse Practitioner
Primary
95001793
CA
363LP0200X
Pediatric Nurse Practitioner
APN18656
TN
Other
Enumeration date
03/25/2014
Last updated
06/23/2015
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