Healthcare Provider Details

I. General information

NPI: 1629563879
Provider Name (Legal Business Name): ASHLEY C SAYLES CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2018
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7401 GREENBELT RD
GREENBELT MD
20770-3402
US

IV. Provider business mailing address

7401 GREENBELT RD
GREENBELT MD
20770-3402
US

V. Phone/Fax

Practice location:
  • Phone: 301-982-5437
  • Fax: 301-982-5428
Mailing address:
  • Phone: 301-982-5437
  • Fax: 301-982-5428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR214621
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: