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NPI Code Detail

MEDICARE: MISS ASHLEY N/A LANS FNP

MEDICARE: MISS ASHLEY N/A LANS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP031875PA
2363LF0000XFamily Nurse Practitioner1138303TX
3363LF0000XFamily Nurse Practitioner95035048CA
4363LF0000XFamily Nurse Practitioner11013294FL
5363LF0000XFamily Nurse Practitioner0024175517VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215448261
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ASHLEY N/A LANS FNP
Provider Business Mailing Address
First Line : 2800 EISENHOWER AVE STE 220
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-4587
Country : US
Telephone Number : 888-803-3370
Fax Number :
Provider Business Practice Location Address
First Line : 2800 EISENHOWER AVE STE 220
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-4587
Country : US
Telephone Number : 888-803-3370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2017
Last Update Date : 01/07/2026

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Directions to “ MISS ASHLEY N/A LANS FNP” Practice Location

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