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Individual

MRS. ASHLEY FENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1404 S MAIN CHAPEL WAY STE 104, GAMBRILLS, MD 21054-1860
(484) 494-8924
Mailing address
1404 S MAIN CHAPEL WAY STE 104, GAMBRILLS, MD 21054-1860
(443) 494-8924

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
363LF0000X
Family Nurse Practitioner
Primary
R214660
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R214660
MD

Other

Enumeration date
01/10/2012
Last updated
03/24/2023
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