Individual
ASHLEY HAPAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, NP-BC
Contact information
Practice address
1290 WALGRA MEADOWS RD, MEADOW VISTA, CA 95722-9570
(206) 465-1076
Mailing address
1290 WALGRA MEADOWS RD, MEADOW VISTA, CA 95722-9570
(206) 465-1076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
52603
CA
363LF0000X
Family Nurse Practitioner
Primary
NP95002622
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52603
PHYSICIAN ASSISTANT BOARD OF CALIFORNIA
CA
01
—
NP95002622
BOARD OF REGISTERED NURSING, FAMILY NURSE PRACTITIONER LICENSE
CA
Enumeration date
07/17/2015
Last updated
07/17/2015
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