Individual
ASHLEIGH DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 261-4210
Mailing address
PO BOX 249, FORT ATKINSON, WI 53538-0249
(706) 832-7340
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
225088
WI
Other
Enumeration date
11/07/2018
Last updated
02/11/2025
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