Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP07731 | LA |
NPI | 1003231085 |
---|---|
Provider Name | Ashley Pinion Bratton |
First Address | Covington, LA 70433-8834 |
Second Address | Covington, LA 70433-8834 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2014 |
Last Update Date | 16/07/2015 |