Individual
ASHLEY LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4343 N 16TH ST, PHOENIX, AZ 85016-5338
(602) 882-6721
Mailing address
7225 W IRWIN AVE, LAVEEN, AZ 85339-7040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN166918
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
287075
AZ
Other
Enumeration date
01/30/2015
Last updated
04/19/2023
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