Individual
ASHLEY BENNETT WENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
52 BEAR DR, GREENVILLE, SC 29605-4458
(864) 295-2131
(864) 269-8035
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 295-2131
(864) 269-8039
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
216207
SC
363LF0000X
Family Nurse Practitioner
Primary
20318
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3983
—
SC
01
—
P01772172
RAILROAD MEDICARE
SC
Enumeration date
06/01/2016
Last updated
07/21/2022
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