Healthcare Provider Details

I. General information

NPI: 1427986439
Provider Name (Legal Business Name): ASHLEY ROBARE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

167 W BALVIEW AVE
NORFOLK VA
23503-1601
US

IV. Provider business mailing address

167 W BALVIEW AVE
NORFOLK VA
23503-1601
US

V. Phone/Fax

Practice location:
  • Phone: 480-204-8700
  • Fax:
Mailing address:
  • Phone: 480-204-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024197147
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: