Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 23745 | SC |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 23745 | SC |
N | 363LG0600X | Nurse Practitioner - Gerontology | 23745 | SC |
NPI | 1558971390 |
---|---|
Provider Name | Auryelle Ascue |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-6862 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2020 |
Last Update Date | 29/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NP7005 | (05) | SC |