Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 231163 | NC |
NPI | 1033683834 |
---|---|
Provider Name | Mrs. Ashley Clair Batts |
First Address | Burgaw, NC 28425-5001 |
Second Address | Burgaw, NC 28425-5001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2019 |
Last Update Date | 15/01/2019 |