Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | RN192271 | GA |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN192271 | GA |
NPI | 1043747520 |
---|---|
Provider Name | Ashley Elizabeth Dahlmann |
First Address | Augusta, GA 30906-5515 |
Second Address | Augusta, GA 30909-6481 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2017 |
Last Update Date | 18/02/2021 |