Healthcare Provider Details

I. General information

NPI: 1730814518
Provider Name (Legal Business Name): ASHLEY NICOLE STEWART APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2022
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 S OLD DIXIE HWY
DELRAY BEACH FL
33483-3466
US

IV. Provider business mailing address

90 NOTTINGHAM PL
BOYNTON BEACH FL
33426-8428
US

V. Phone/Fax

Practice location:
  • Phone: 561-730-3860
  • Fax: 833-370-0285
Mailing address:
  • Phone: 917-569-9057
  • Fax: 833-370-0285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0106740
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11021818
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1222848
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number359259
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3002686
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: