Healthcare Provider Details

I. General information

NPI: 1083489264
Provider Name (Legal Business Name): ASHLEY ELIZABETH WELTY APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2023
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CROSSWAYS BLVD STE A
CHESAPEAKE VA
23320-2895
US

IV. Provider business mailing address

1600 CROSSWAYS BLVD STE A
CHESAPEAKE VA
23320-2895
US

V. Phone/Fax

Practice location:
  • Phone: 757-282-4070
  • Fax: 757-440-3288
Mailing address:
  • Phone: 757-282-4070
  • Fax: 757-440-3288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024193609
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: