Basic Information
Provider Information
NPI: 1619648979
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SETTLEMYER
FirstName: ASHLEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1400 TULLIE RD NE
Address2:  
City: ATLANTA
State: GA
PostalCode: 303292309
CountryCode: US
TelephoneNumber: 4047855437
FaxNumber:  
Practice Location
Address1: 1400 TULLIE RD NE
Address2:  
City: ATLANTA
State: GA
PostalCode: 303292309
CountryCode: US
TelephoneNumber: 4047855437
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/25/2021
LastUpdateDate: 09/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN270816GAY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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