Doctor Name: | AISHA M LADSON |
NPI Number: | 1598181224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9287728 |
Business Practice Address: | 445 S Lawrence Blvd Suite A Keystone Heights, FL - 326569222 |
Business Phone Number: | 3525627927 |
Business Fax Number: | 7703191019 |
Mailing Address: | 445 S Lawrence Blvd, Suite A KEYSTONE HEIGHTS |
State: | FL |
Postal Code: | 326569222 |
Phone Number: | 3525627927 |
Fax Number: | 7703191019 |
NPI Enumeration Date: | 03/05/2014 |
NPI Last Update Date: | 03/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9287728 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |