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Individual

ASHLEY LAURIELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
834 CHESTNUT ST STE 450, PHILADELPHIA, PA 19107-5127
(215) 955-8435
Mailing address
834 CHESTNUT ST STE 450, PHILADELPHIA, PA 19107-5127

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R195869
MD
363LG0600X
Gerontology Nurse Practitioner
Primary
SP030224
PA

Other

Enumeration date
07/13/2016
Last updated
08/26/2025
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