Doctor Name: | ASHLEY N LANCE |
NPI Number: | 1629323365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 2012021033 |
Business Practice Address: | 5210 N. Belt Highway St Joseph, MO - 645061211 |
Business Phone Number: | 8162711330 |
Business Fax Number: | 8162711333 |
Mailing Address: | 5210 N. Belt Highway, ST JOSEPH |
State: | MO |
Postal Code: | 645061211 |
Phone Number: | 8162711330 |
Fax Number: | 8162711333 |
NPI Enumeration Date: | 07/18/2012 |
NPI Last Update Date: | 07/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2012021033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |