Healthcare Provider Details

I. General information

NPI: 1710897863
Provider Name (Legal Business Name): ASHLEY MCKERVEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 W CHISHOLM ST
ALPENA MI
49707-1401
US

IV. Provider business mailing address

1501 W CHISHOLM ST
ALPENA MI
49707-1401
US

V. Phone/Fax

Practice location:
  • Phone: 989-356-8089
  • Fax: 989-356-8047
Mailing address:
  • Phone: 989-356-8089
  • Fax: 989-356-8047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704366835
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: