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NPI Code Detail

MEDICARE: ASHLEIGH RICHMOND

MEDICARE: ASHLEIGH RICHMOND
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
1374J00000XDoula
2174N00000XLactation Consultant (Non-RN)

General Provider Information

NPI Number : 1093190928
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEIGH RICHMOND
Provider Business Mailing Address
First Line : 10818 45TH AVE
Second Line :
City : PLEASANT PRAIRIE
State : WI
Zip : 53158-3947
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10818 45TH AVE
Second Line :
City : PLEASANT PRAIRIE
State : WI
Zip : 53158-3947
Country : US
Telephone Number : 262-909-2371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2015
Last Update Date : 05/13/2021

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Directions to “ ASHLEIGH RICHMOND ” Practice Location

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