Healthcare Provider Details
I. General information
NPI: 1396311494
Provider Name (Legal Business Name): CASHEL AHRENS PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/28/2021
Last Update Date: 06/01/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1900 BYRD AVE
RICHMOND VA
23230-3033
US
IV. Provider business mailing address
PO BOX 17102
RICHMOND VA
23226-7102
US
V. Phone/Fax
- Phone: 804-592-6311
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 0024180672 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: