Healthcare Provider Details

I. General information

NPI: 1407121908
Provider Name (Legal Business Name): DIANA MARIA ASHLEY RN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2012
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 E MAIN ST STE 200
ROCK HILL SC
29730-5384
US

IV. Provider business mailing address

135 STARLIGHT LN
COTTAGEVILLE SC
29435-3531
US

V. Phone/Fax

Practice location:
  • Phone: 301-809-4000
  • Fax:
Mailing address:
  • Phone: 843-513-8990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number21690
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: