Healthcare Provider Details

I. General information

NPI: 1336845825
Provider Name (Legal Business Name): KRISTI NICOLE ASHTON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 02/06/2023
Certification Date: 02/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 BERKMORE PL
BERKELEY SPRINGS WV
25411-6247
US

IV. Provider business mailing address

765 HISTORIC PACKHORSE TRL
HEDGESVILLE WV
25427-3593
US

V. Phone/Fax

Practice location:
  • Phone: 304-258-5790
  • Fax:
Mailing address:
  • Phone: 304-839-1208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number113851
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: