Ashly Marie Medeiros, APRN
Nurse Practitioner, Family in Brentwood, TN. Individual provider (NPI-1).
NPI number1194366161
StatusActive
Last updated in NPPESApr 12, 2022
Details
- NPI
- 1194366161
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ashly Marie Medeiros
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2019
- Certification date
- Apr 12, 2022
- Last updated
- Apr 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP143139 | TX | Yes |
Practice location
210 Westwood Pl Ste 110Brentwood, TN 37027-7554
Phone 615-206-2462
Mailing address
66 Knight Ln Ste 10Williston, VT 05495-9308
Phone 802-872-4343
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