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General NPI Number Information
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NPI Number | 1376850669
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Entity Type | Individual
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Provider Name | ASHLEY LYNN NORDBERG ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 502 W 4TH AVE
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City | TOPPENISH
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State | WA
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Zip | 98948-1616
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Country | US
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Telephone | 509-865-3105
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 719
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City | SUNNYSIDE
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State | WA
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Zip | 98944-0719
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Country | US
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Telephone | 509-837-1617
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60171984
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 0002076033
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61118365
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License Number State | WA
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