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NPI Code Detail

MEDICARE: ASHLEY THOMAS APN

MEDICARE: ASHLEY THOMAS APN
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
1363LF0000XFamily Nurse Practitioner26NJ00533500NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104223809
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY THOMAS APN
Provider Business Mailing Address
First Line : 1474 TANYARD ROAD
Second Line : SUITE D100
City : SEWELL
State : NJ
Zip : 08080
Country : US
Telephone Number : 856-566-6265
Fax Number : 856-566-6185
Provider Business Practice Location Address
First Line : 854 S WHITE HORSE PIKE UNIT 4
Second Line :
City : HAMMONTON
State : NJ
Zip : 08037-2033
Country : US
Telephone Number : 609-704-0185
Fax Number : 609-704-0195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2014
Last Update Date : 01/26/2026

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