Healthcare Provider Details

I. General information

NPI: 1174166474
Provider Name (Legal Business Name): MS. ASHLEY LAUREN CARY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2019
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 BEE ST
CHARLESTON SC
29425-8910
US

IV. Provider business mailing address

4655 BRYANT ST
DENVER CO
80211-1155
US

V. Phone/Fax

Practice location:
  • Phone: 843-792-3664
  • Fax:
Mailing address:
  • Phone: 914-588-2708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number31491
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0994798-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: