Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 28922 | TN |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 28922 | TN |
NPI | 1275095200 |
---|---|
Provider Name | Ashley Elizabeth Siedlecki |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-1459 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2019 |
Last Update Date | 15/11/2021 |