MEDICARE: ASHIA LAUREL WEHBE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11022073	FL

General Provider Information

NPI Number	:	1417673872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHIA LAUREL WEHBE

Provider Business Mailing Address
First Line	:	19706 SW 83RD PLACE RD APT B-8
Second Line	:
City	:	DUNNELLON
State	:	FL
Zip	:	34432-2651
Country	:	US
Telephone Number	:	406-599-3474
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 W FORT ISLAND TRL STE E
Second Line	:
City	:	CRYSTAL RIVER
State	:	FL
Zip	:	34429-8133
Country	:	US
Telephone Number	:	352-563-5858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2022
Last Update Date	:	10/18/2022

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Directions to “ ASHIA LAUREL WEHBE ” Practice Location

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