Healthcare Provider Details

I. General information

NPI: 1861126815
Provider Name (Legal Business Name): ASHLEY LAUREN SCHENNING CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY LAUREN STARR

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 08/14/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST
BALTIMORE MD
21201-1544
US

IV. Provider business mailing address

9708 LANGLEY RD
MIDDLE RIVER MD
21220-3882
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-5382
  • Fax:
Mailing address:
  • Phone: 724-504-3726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberR224331
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberR224331
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: