Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 1-117632 | AL |
N | 363LA2200X | Nurse Practitioner - Adult Health | 1-117632 | AL |
NPI | 1013259316 |
---|---|
Provider Name | Mrs. Ashley D. D'elia |
First Address | Millbrook, AL 36054 |
Second Address | Millbrook, AL 36054 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2013 |
Last Update Date | 12/11/2020 |