Healthcare Provider Details

I. General information

NPI: 1831006477
Provider Name (Legal Business Name): ASHLEY EMBRY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 OLYMPIA PARK PLZ STE 3000
LOUISVILLE KY
40241-0001
US

IV. Provider business mailing address

4801 OLYMPIA PARK PLZ STE 3000
LOUISVILLE KY
40241-0001
US

V. Phone/Fax

Practice location:
  • Phone: 502-296-5666
  • Fax:
Mailing address:
  • Phone: 502-296-5666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4062703
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: