Healthcare Provider Details

I. General information

NPI: 1912616848
Provider Name (Legal Business Name): ASHLEY LYNN SCHREPPEL MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY SCHREPPEL MSN, FNP-BC

II. Dates (important events)

Enumeration Date: 11/18/2022
Last Update Date: 11/18/2022
Certification Date: 11/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 BLADES FARM RD STE 101
DENTON MD
21629-3488
US

IV. Provider business mailing address

1140 BLADES FARM RD STE 101
DENTON MD
21629-3488
US

V. Phone/Fax

Practice location:
  • Phone: 410-479-3510
  • Fax:
Mailing address:
  • Phone: 410-479-3510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR182984
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberR182984
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: