Healthcare Provider Details

I. General information

NPI: 1154663326
Provider Name (Legal Business Name): ASHLY B HOWARD CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2013
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3650 NW 82 AVE SUITE 101
DORAL FL
33166
US

IV. Provider business mailing address

14900 FEATHERSTONE WAY STE 200
DAVIE FL
33331-2936
US

V. Phone/Fax

Practice location:
  • Phone: 954-815-9970
  • Fax: 305-341-7284
Mailing address:
  • Phone: 954-815-9970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN9277918
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9277918
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: