Individual
ASHLEY MARIE WELLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
16 WOODBINE LN, DANVILLE, PA 17821-8029
(800) 275-6401
Mailing address
173 FOWLERSVILLE RD, BLOOMSBURG, PA 17815-6959
(570) 854-3099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP022185
PA
Other
Enumeration date
07/20/2020
Last updated
09/15/2020
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