Healthcare Provider Details

I. General information

NPI: 1821256751
Provider Name (Legal Business Name): ASHLEY CAROLYN BROUWER MSN, WHNP-BC, ANP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY C. BROUWER N.P.

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1744 FARMERS LOOP RD
FAIRBANKS AK
99709-6713
US

IV. Provider business mailing address

607 OLD STEESE HWY # B-173
FAIRBANKS AK
99701-3163
US

V. Phone/Fax

Practice location:
  • Phone: 907-405-0467
  • Fax: 888-414-9445
Mailing address:
  • Phone: 907-405-0467
  • Fax: 888-414-9445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN13181
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number157718
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number13181
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: