Individual
ASHLEIGH SEVERANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
717 N CENTER DR NW, WALKER, MI 49544-8215
(231) 830-6818
Mailing address
717 N CENTER DR NW, WALKER, MI 49544-8215
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703109773
MI
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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