Doctor Name: | MS. ASHLEY BETH MERRYMAN |
NPI Number: | 1003181611 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 203742 |
Business Practice Address: | 115 S Church St Berryville, VA - 226111369 |
Business Phone Number: | 5409554811 |
Business Fax Number: | 5409550976 |
Mailing Address: | 136 Linden Dr, Suite 104 WINCHESTER |
State: | VA |
Postal Code: | 226016900 |
Phone Number: | 5406783588 |
Fax Number: | 5406789025 |
NPI Enumeration Date: | 03/14/2012 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 203742 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |