Healthcare Provider Details

I. General information

NPI: 1558852541
Provider Name (Legal Business Name): ASHLEY ANNE SCHAUBLIN WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. ASHLEY ANNE MASCIANICA

II. Dates (important events)

Enumeration Date: 05/24/2018
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 E NC HIGHWAY 54 STE 330
DURHAM NC
27713-2490
US

IV. Provider business mailing address

2115 WOODBURY DR
HILLSBOROUGH NC
27278-6631
US

V. Phone/Fax

Practice location:
  • Phone: 919-251-9223
  • Fax: 919-251-9343
Mailing address:
  • Phone: 585-747-9640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number5010538
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: