Healthcare Provider Details

I. General information

NPI: 1033234810
Provider Name (Legal Business Name): LINDA ANN ASHLEY CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 BEISER BLVD STE 201
DOVER DE
19904-5773
US

IV. Provider business mailing address

260 BEISER BLVD STE 201
DOVER DE
19904-5773
US

V. Phone/Fax

Practice location:
  • Phone: 302-678-7438
  • Fax: 302-678-7434
Mailing address:
  • Phone: 302-678-7438
  • Fax: 302-678-7434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberLG-0000135
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: