Most Relevant Information
Provider Data
| NPI Number: | 1003352444 |
| Provider Name: | ASHLEY DAWN SHRIVES APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | A004979 |
Most Important Dates
| Enumeration Date: | 01/09/2017 |
| Last Updated: | 07/28/2020 |
Provider Practice Location
1176 STATE HIGHWAY 22 W
SUITE B
DARDANELLE
AR
728343006
Practice Location Phone/Fax
| Phone: | 8706050014 |
| Fax: | 8709947488 |
Provider Mailing Location
106 N VAN BUREN ST
WEINER
AR
724799289
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |