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NPI Code Detail

MEDICARE: CHANTIKA K ASHE FNP

MEDICARE: CHANTIKA K ASHE FNP
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 Practitioner0024176048VA

General Provider Information

NPI Number : 1417444779
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANTIKA K ASHE FNP
Provider Business Mailing Address
First Line : 2125 HILLIARD RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-4600
Country : US
Telephone Number : 804-217-4347
Fax Number :
Provider Business Practice Location Address
First Line : 2125 HILLIARD RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-4600
Country : US
Telephone Number : 804-217-4347
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2018
Last Update Date : 05/03/2023

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Directions to “ CHANTIKA K ASHE FNP” Practice Location

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