Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | AP120335 | TX |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP120335 | TX |
NPI | 1063830404 |
---|---|
Provider Name | Ashley Caraway |
First Address | Conroe, TX 77385-1111 |
Second Address | Houston, TX 77030-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2014 |
Last Update Date | 09/09/2015 |