Provider Demographics
NPI:1477017606
Name:HAZELRIGG, ASHLEY TORRONI (APRN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:TORRONI
Last Name:HAZELRIGG
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:TORRONI
Other - Last Name:HAZELRIGG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP
Mailing Address - Street 1:PO BOX 743904
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3904
Mailing Address - Country:US
Mailing Address - Phone:803-296-7320
Mailing Address - Fax:
Practice Address - Street 1:103 SUM MOR DR
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-4828
Practice Address - Country:US
Practice Address - Phone:803-254-4699
Practice Address - Fax:803-851-1235
Is Sole Proprietor?:No
Enumeration Date:2019-01-22
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC224252086S0129X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP5798Medicaid