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NPI Code Detail

MEDICARE: ASHLEY MCNALLY

MEDICARE:   ASHLEY  MCNALLY
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
1163W00000XRegistered Nurse661958NY

General Provider Information

NPI Number : 1063362457
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MCNALLY
Provider Business Mailing Address
First Line : 4859 TWELVE CORNERS RD
Second Line :
City : OWASCO
State : NY
Zip : 13021-9626
Country : US
Telephone Number : 315-657-8118
Fax Number :
Provider Business Practice Location Address
First Line : 4057 WEST RD
Second Line :
City : CORTLAND
State : NY
Zip : 13045-1637
Country : US
Telephone Number : 607-753-1340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ ASHLEY MCNALLY ” Practice Location

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