Individual provider · Type 1 NPI
Ashley Dometrius, CPNP-PC
Pediatric Nurse Practitioner · Lubbock, TX
NPI number
1730540097
Active
Practice location
10507 Quaker Ave Unit 105
Lubbock, TX 79424-8441
Fax (806) 696-6431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP130554 (TX) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1730540097
Ashley Dometrius, CPNP-PC's National Provider Identifier is 1730540097, issued on Mar 15, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lubbock, TX. The record was last updated on May 26, 2026.