Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 0101250345 | VA |
N | 207U00000X | Nuclear Medicine Specialist | M8541 | TX |
NPI | 1295908077 |
---|---|
Provider Name | Ashley Ford Blurton |
First Address | Fishersville, VA 22939-0388 |
Second Address | Fishersville, VA 22939-2332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2008 |
Last Update Date | 15/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
195629403 | (05) | TX |
195629404 | (05) | TX |
8AN897 | BCBS (01) | TX |