ASHLEY DOMETRIUS NPI 1730540097

NPI Information

NPI: 1730540097
Provider Name: ASHLEY DOMETRIUS
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
4015 22ND PL
LUBBOCK, TX
ZIP 79410
Phone: (806) 725-0030
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Ashley Dometrius is a pediatrics nurse practitioner in Lubbock, TX. Ashley Dometrius NPI is 1730540097. 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:

4015 22ND PL
LUBBOCK, TX
ZIP 79410-119
Phone: (806) 725-0030
Fax: (806) 725-0015

The enumeration date for this NPI number is 3/15/2016 and was last updated on 3/15/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	AP130554	TEXAS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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