Provider Demographics
NPI:1699043281
Name:AUDET, ASHLEY B (CRNA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:B
Last Name:AUDET
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:35 MEDICAL CENTER PKWY
Mailing Address - Street 2:STE # 201
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-8160
Mailing Address - Country:US
Mailing Address - Phone:207-622-1959
Mailing Address - Fax:207-430-4007
Practice Address - Street 1:35 MEDICAL CENTER PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-8160
Practice Address - Country:US
Practice Address - Phone:207-622-1959
Practice Address - Fax:207-430-4007
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2013-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MERNA113030367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered