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NPI Code Detail

MEDICARE: ASHLEY NICOLE NUNLEY

MEDICARE: ASHLEY NICOLE NUNLEY
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 PractitionerAP139691TX

General Provider Information

NPI Number : 1609330711
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY NICOLE NUNLEY
Provider Business Mailing Address
First Line : 909 RIDGEBROOK RD STE 300
Second Line :
City : SPARKS GLENCOE
State : MD
Zip : 21152-9477
Country : US
Telephone Number : 443-383-9300
Fax Number : 855-866-8710
Provider Business Practice Location Address
First Line : 12830 HILLCREST RD STE 111
Second Line :
City : DALLAS
State : TX
Zip : 75230-1547
Country : US
Telephone Number : 443-383-9300
Fax Number : 855-866-8710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2019
Last Update Date : 03/31/2023

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Directions to “ ASHLEY NICOLE NUNLEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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