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NPI Code Detail

MEDICARE: ASHLYN TELLERS

MEDICARE: ASHLYN TELLERS
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner7000479WA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner407092NY
3363LP0808XPsychiatric/Mental Health Nurse Practitioner242212AZ

General Provider Information

NPI Number : 1871119156
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLYN TELLERS
Provider Business Mailing Address
First Line : 109 W 27TH ST RM 5S
Second Line :
City : NEW YORK
State : NY
Zip : 10001-6208
Country : US
Telephone Number : 833-351-8255
Fax Number :
Provider Business Practice Location Address
First Line : 4435 E CHANDLER BLVD STE 222
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-7649
Country : US
Telephone Number : 833-351-8255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2020
Last Update Date : 01/11/2026

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Directions to “ ASHLYN TELLERS ” Practice Location

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