Healthcare Provider Details

I. General information

NPI: 1154985604
Provider Name (Legal Business Name): ASHLEY KARRAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2019
Last Update Date: 06/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 GLADES RD FL 4
BOCA RATON FL
33431-6407
US

IV. Provider business mailing address

5139 POINT ALEXIS
BOCA RATON FL
33486-1420
US

V. Phone/Fax

Practice location:
  • Phone: 561-430-3933
  • Fax: 561-430-3943
Mailing address:
  • Phone: 423-619-6391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11001809
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: