Healthcare Provider Details

I. General information

NPI: 1407702996
Provider Name (Legal Business Name): ASHLEE WEBER PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 ORANGE AVE # D3
WINTER PARK FL
32789-4946
US

IV. Provider business mailing address

1270 ORANGE AVE # D3
WINTER PARK FL
32789-4946
US

V. Phone/Fax

Practice location:
  • Phone: 407-589-9446
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11046821
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: