Individual
ASHLEY A BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(414) 616-3238
Mailing address
1477 BLOSSOM AVE, YPSILANTI, MI 48198-3360
(313) 623-2076
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2019071252
MI
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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