Healthcare Provider Details

I. General information

NPI: 1285159970
Provider Name (Legal Business Name): ASHLEIGH MARIA HOLMES PHD, AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 VESEY ST FL 18
NEW YORK NY
10281-1053
US

IV. Provider business mailing address

250 VESEY ST FL 18
NEW YORK NY
10281-1053
US

V. Phone/Fax

Practice location:
  • Phone: 646-979-9798
  • Fax: 844-749-3684
Mailing address:
  • Phone: 646-979-9798
  • Fax: 844-749-3684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number308489
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number734003
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: