Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 5006604 | NC |
NPI | 1235569096 |
---|---|
Provider Name | Ms. Ashley Dawn Batten |
First Address | Wilmington, NC 28409-3954 |
Second Address | Wilmington, NC 28401-7515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2013 |
Last Update Date | 08/05/2017 |