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NPI Code Detail

MEDICARE: DEBORAH ASHTEN MOCK

MEDICARE: DEBORAH ASHTEN MOCK
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 Practitioner5011586NC

General Provider Information

NPI Number : 1952860355
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ASHTEN MOCK
Provider Business Mailing Address
First Line : 1 HOMEWOOD RD
Second Line :
City : CANDLER
State : NC
Zip : 28715-8394
Country : US
Telephone Number : 828-231-1858
Fax Number :
Provider Business Practice Location Address
First Line : 2360 SWEETEN CREEK RD
Second Line :
City : ASHEVILLE
State : NC
Zip : 28803-2030
Country : US
Telephone Number : 828-348-0760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2019
Last Update Date : 03/15/2019

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