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NPI 1528950854

NPI 1528950854 : ASHLEY NICOLE PEREZ EVANS ADULT GERONTOLOGY NP : NEWARK, DE

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General NPI Number Information
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    NPI Number           |    1528950854
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEY NICOLE PEREZ EVANS ADULT GERONTOLOGY NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/21/2025
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    Last Update Date     |    07/21/2025
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Provider Practice Location Address
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    Address Line         |    4755 OGLETOWN STANTON RD 
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    City                 |    NEWARK
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    State                |    DE
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    Zip                  |    19718-2200
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    Country              |    US
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    Telephone            |    302-388-7877
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6 WESTMEADOW LN 
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    City                 |    NEWARK
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    State                |    DE
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    Zip                  |    19711-2961
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    Country              |    US
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    Telephone            |    302-388-7877
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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        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    LP-0010910
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    License Number State |    DE
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