Tamra J Ashley, CFNP IBCLC
Nurse Practitioner in Lansing, MI. Individual provider (NPI-1).
NPI number1790288058
StatusActive
Last updated in NPPESDec 19, 2019
Details
- NPI
- 1790288058
- Entity type
- Individual (NPI-1)
- Name
- Tamra J Ashley
- Credential
- CFNP IBCLC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2018
- Certification date
- Dec 19, 2019
- Last updated
- Dec 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704172273 | MI | Yes |
| 163WL0100X | Registered Nurse, Lactation Consultant | 4704172273 | MI |
Practice location
401 W Greenlawn AveLansing, MI 48910-2819
Phone 517-975-7300 · Fax 517-975-7344
Mailing address
4607 E Price RdSaint Johns, MI 48879-9152
Phone 989-640-0667
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