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NPI Code Detail

MEDICARE: MRS. ASHLEY CARMEN FNP-C

MEDICARE:  MRS. ASHLEY  CARMEN  FNP-C
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
1163WC0200XCritical Care Medicine Registered Nurse1268702VA
2363L00000XNurse Practitioner0024176312VA

General Provider Information

NPI Number : 1497281141
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ASHLEY CARMEN FNP-C
Provider Business Mailing Address
First Line : 615 SWANN AVE
Second Line : APT 116
City : ALEXANDRIA
State : VA
Zip : 22301-1428
Country : US
Telephone Number : 724-309-8033
Fax Number :
Provider Business Practice Location Address
First Line : 615 SWANN AVE
Second Line : APT 116
City : ALEXANDRIA
State : VA
Zip : 22301-1428
Country : US
Telephone Number : 724-309-8033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2017
Last Update Date : 09/19/2018

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Directions to “ MRS. ASHLEY CARMEN FNP-C” Practice Location

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