MEDICARE: DEBORAH G. ASHINHURST

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	109104	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881702454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH G. ASHINHURST

Provider Business Mailing Address
First Line	:	3066 SW GRANDSTAND CIR
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64081-3866
Country	:	US
Telephone Number	:	816-607-9666
Fax Number	:	816-447-3932

Provider Business Practice Location Address
First Line	:	608 MISSOURI ST
Second Line	:
City	:	WAVERLY
State	:	MO
Zip	:	64096-8241
Country	:	US
Telephone Number	:	660-493-2262
Fax Number	:	660-493-2796

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	05/16/2018

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