Individual
MRS. ASHLEY LORETTA MIRMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
824 GREENBRIER PKWY STE 100, CHESAPEAKE, VA 23320-3697
(757) 410-7390
(757) 410-7395
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024172326
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023482965
OB/GYN
VA
Enumeration date
09/26/2012
Last updated
12/08/2020
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