Individual
MRS. ASHLEY MARIE VINOGRADOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Contact information
Practice address
206 2ND ST E, BRADENTON, FL 34208-1042
(941) 746-5111
Mailing address
10036 SMARTY JONES DR, RUSKIN, FL 33573-6708
(850) 686-7267
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11005346
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
129766
FL
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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