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NPI Code Detail

MEDICARE: ASHLEY MILLARD NP

MEDICARE:   ASHLEY  MILLARD  NP
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
1363LP0200XPediatric Nurse PractitionerRN1036845DC
2363L00000XNurse Practitioner0024176784VA

General Provider Information

NPI Number : 1821480559
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MILLARD NP
Provider Business Mailing Address
First Line : 3600 S GLEBE RD STE 150
Second Line :
City : ARLINGTON
State : VA
Zip : 22202-5604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6400 ARLINGTON BLVD STE 200
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22042-2336
Country : US
Telephone Number : 703-531-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2015
Last Update Date : 03/28/2024

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