Individual
ASHLEY MCGUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
209 E PAT RADY WAY, BAINBRIDGE, IN 46105-5508
(765) 301-7679
(765) 301-7677
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014854A
IN
363LF0000X
Family Nurse Practitioner
APRN11014026
FL
363LF0000X
Family Nurse Practitioner
NUR-APRN-LIC-174104
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1660-64-8389
0000000
IN
Enumeration date
03/15/2021
Last updated
06/05/2024
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