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ASHLEIGH DERISO NPI 1003064734


NPI Information

NPI: 1003064734
Provider Name: ASHLEIGH DERISO
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
1727 WRIGHTSBORO RD
SUITE B
AUGUSTA, GA
ZIP 30904
Phone: (706) 736-8170
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Ashleigh Deriso is a licensed practical nurse in Augusta, GA. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Ashleigh Deriso NPI is 1003064734. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1727 WRIGHTSBORO RD
SUITE B
AUGUSTA, GA
ZIP 30904-074
Phone: (706) 736-8170
Fax: (706) 736-8184

The enumeration date for this NPI number is 9/6/2008 and was last updated on 9/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164W00000XLicensed Practical Nurse075313GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.