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NPI Code Detail

MEDICARE: ASHLEY NICOLE WEI PMHNP-BC

MEDICARE: ASHLEY NICOLE WEI PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner11004221FL

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 : 1457992968
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY NICOLE WEI PMHNP-BC
Provider Business Mailing Address
First Line : PO BOX 95590
Second Line :
City : SOUTH JORDAN
State : UT
Zip : 84095-0590
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 305 CORDAY ST
Second Line :
City : PENSACOLA
State : FL
Zip : 32503-2214
Country : US
Telephone Number : 850-908-2815
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2019
Last Update Date : 03/09/2026

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