Healthcare Provider Details

I. General information

NPI: 1699220343
Provider Name (Legal Business Name): ASHLEY MAE HOWARD NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY MAE STACY

II. Dates (important events)

Enumeration Date: 08/23/2016
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 VICTORS WAY STE 10
ANN ARBOR MI
48108-5217
US

IV. Provider business mailing address

PO BOX 40412
BELFAST ME
04915-1255
US

V. Phone/Fax

Practice location:
  • Phone: 734-975-5000
  • Fax:
Mailing address:
  • Phone: 734-975-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704278163
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: