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NPI Code Detail

MEDICARE: ASHLEY ROE RN

MEDICARE: ASHLEY ROE RN
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 Nurse615699NY

General Provider Information

NPI Number : 1417185844
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY ROE RN
Provider Business Mailing Address
First Line : 3885 TEACHERS LN
Second Line :
City : ORCHARD PARK
State : NY
Zip : 14127-2148
Country : US
Telephone Number : 419-270-2041
Fax Number :
Provider Business Practice Location Address
First Line : 2250 WEHRLE DR
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-7034
Country : US
Telephone Number : 716-276-2123
Fax Number : 716-276-2129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2009
Last Update Date : 06/24/2009

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