Healthcare Provider Details

I. General information

NPI: 1417849001
Provider Name (Legal Business Name): ASHLEY CAUSA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 07/17/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 S COTTONWOOD ST
NORTH PLATTE NE
69101-6138
US

IV. Provider business mailing address

810 E 4TH ST
NORTH PLATTE NE
69101-6913
US

V. Phone/Fax

Practice location:
  • Phone: 308-534-4438
  • Fax:
Mailing address:
  • Phone: 308-520-3546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number116167
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: