Individual provider · NPI-1

Ashley Nicole Abbott, IDMT

Military Health Care Provider, Independent Duty Medical Technicians · Langley Afb, VA

NPI number1295074714
StatusActive
Last updated in NPPESFeb 4, 2013

Details

NPI
1295074714
Entity type
Individual (NPI-1)
Name
Ms. Ashley Nicole Abbott
Credential
IDMT
Sex
Female
Sole proprietor
No
Enumeration date
Feb 4, 2013
Last updated
Feb 4, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians––Yes

Practice location

77 Nealy Ave
Langley Afb, VA 23665-2040

Phone 540-907-7124

Mailing address

212 Apollo Way
Langley Afb, VA 23665-2492

Phone 540-907-7124

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