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Individual

ASHLEY LAUREN PENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
9797 TIMBER CIR STE A, SPANISH FORT, AL 36527-5459
(251) 928-0624
(251) 928-0655
Mailing address
150 S INGLESIDE ST STE 7, FAIRHOPE, AL 36532-1804
(251) 928-0624
(251) 928-0655

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-104480
AL

Other

Enumeration date
04/11/2012
Last updated
03/17/2018
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