Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ASHLEY BERTAUT STICKMAN
ActiveOncology Nutrition · JEFFERSON, LA
Registration Details
- NPI Number
- 1760008833
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2020 (5.8279679046916 yrs)
- Last Updated
- Oct 1, 2020
- License
-
2738 (LA)
Practice Information
- Address
-
1514 JEFFERSON HWYJEFFERSON, LA, 701212429Browse LA providers · Browse ZIP 70121
- Phone
- 5047035328
- Primary Specialty
-
Oncology Nutrition
133VN1301X
Other Oncology Nutrition Providers in JEFFERSON, LA
| Name | Credential | NPI |
|---|---|---|
| MICHELE FRADELLA GERARVE | — | 1275252207 |
| MS. KRISTEN ANNETTE WAGUESPACK | MS,RD,LDN | 1295699734 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.