Healthcare Provider Details

I. General information

NPI: 1023925781
Provider Name (Legal Business Name): ASHLEY ANN MURRAY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 CLEMSON RD
VENICE FL
34293-6009
US

IV. Provider business mailing address

87 CLEMSON RD
VENICE FL
34293-6009
US

V. Phone/Fax

Practice location:
  • Phone: 219-308-4798
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11050442
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: