Individual
CHANTEL LATRESA ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
626367
TX
367A00000X
Advanced Practice Midwife
626367
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206275403
—
TX
01
—
8339NH
BLUE CROSS BLUE SHIELD
TX
01
—
8FX389
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/22/2006
Last updated
08/30/2016
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