Healthcare Provider Details

I. General information

NPI: 1982532826
Provider Name (Legal Business Name): ASHLEY LANIER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1931 19TH PL
VERO BEACH FL
32960-3555
US

IV. Provider business mailing address

5341 TALBOT BLVD
COCOA FL
32926-1833
US

V. Phone/Fax

Practice location:
  • Phone: 321-387-9451
  • Fax:
Mailing address:
  • Phone: 321-347-6369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11047257
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: