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NPI Code Detail

MEDICARE: ASHLEY FINE CRNP

MEDICARE: ASHLEY FINE CRNP
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
1363L00000XNurse PractitionerR192288MD
2363LF0000XFamily Nurse Practitioner5805CT
3363LF0000XFamily Nurse PractitionerR192288MD

General Provider Information

NPI Number : 1063820280
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY FINE CRNP
Provider Business Mailing Address
First Line : 520 UPPER CHESAPEAKE DR STE 206
Second Line :
City : BEL AIR
State : MD
Zip : 21014-4360
Country : US
Telephone Number : 410-879-9100
Fax Number : 410-638-0408
Provider Business Practice Location Address
First Line : 520 UPPER CHESAPEAKE DR STE 206
Second Line :
City : BEL AIR
State : MD
Zip : 21014-4360
Country : US
Telephone Number : 410-879-9100
Fax Number : 410-638-0408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2014
Last Update Date : 08/17/2021

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Directions to “ ASHLEY FINE CRNP” Practice Location

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