Doctor Name: | MRS. ASHLEY NICOLE UNDERWOOD |
NPI Number: | 1023323201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 0024168867 |
Business Practice Address: | 199 Hospital Dr Galax, VA - 243332454 |
Business Phone Number: | 2762365181 |
Business Fax Number: | 2762363297 |
Mailing Address: | 304 5th St Se, PULASKI |
State: | VA |
Postal Code: | 243016610 |
Phone Number: | 2762660218 |
Fax Number: | |
NPI Enumeration Date: | 08/12/2010 |
NPI Last Update Date: | 11/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024168867 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |