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NPI Code Detail

MEDICARE: ASHLEY MONIQUE WALA NP

MEDICARE: ASHLEY MONIQUE WALA NP
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
1363LW0102XWomen's Health Nurse Practitioner421851NY
2363LW0102XWomen's Health Nurse Practitioner5018118NC
3363L00000XNurse Practitioner5018118NC

General Provider Information

NPI Number : 1326655424
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MONIQUE WALA NP
Provider Business Mailing Address
First Line : PO BOX 19305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28219-9305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 251 EASTWAY DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-7103
Country : US
Telephone Number : 704-446-9991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2020
Last Update Date : 01/13/2026

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