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NPI Code Detail

MEDICARE: ASHLEY NICOLE CARRIER NP

MEDICARE: ASHLEY NICOLE CARRIER NP
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
1363LA2200XAdult Health Nurse PractitionerRN114154-AP06120LA
2363LA2200XAdult Health Nurse Practitioner787122TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1787122OTHERTXTEXAS STATE LICENSE
2AP06120OTHERLALOUISIANA STATE LICENSE

General Provider Information

NPI Number : 1073825311
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY NICOLE CARRIER NP
Provider Business Mailing Address
First Line : 1509 DULLES DR
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-3718
Country : US
Telephone Number : 337-991-9276
Fax Number : 337-991-9288
Provider Business Practice Location Address
First Line : 2900 WESTFORK DR
Second Line : STE 401
City : BATON ROUGE
State : LA
Zip : 70827-0010
Country : US
Telephone Number : 337-991-9276
Fax Number : 337-991-9288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2010
Last Update Date : 05/13/2016

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