Individual provider · Type 1 NPI
Ashley Marie Van Driesen, AGNP-C
Gerontology Nurse Practitioner · Richmond, VA
NPI number
1013564822
Active
Practice location
1300 E Marshall St
Richmond, VA 23298-5054
Fax (804) 828-5941
Mailing address
PO Box 91734
Richmond, VA 23291-1734
Other practice locations
- 1213 E Clay St, Richmond, VA 23298-5071 · (804) 828-9199
- 1250 E Marshall St, Richmond, VA 23298-5051 · (804) 828-7999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 0024177972 (VA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1013564822
Ashley Marie Van Driesen, AGNP-C's National Provider Identifier is 1013564822, issued on Aug 26, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Richmond, VA. The record was last updated on Feb 27, 2020.