Individual
ASHLEY NICHOLE BUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
319 S WESTGATE DR STE H, GREENSBORO, NC 27407-1632
(336) 285-7915
Mailing address
2751 BRIDGEPORT DR, WINSTON SALEM, NC 27103-5448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
285505
NC
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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