MEDICARE: ASHLEY E HUERGO APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11028387	FL
2	163W00000X	Registered Nurse	RN9432881	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013529817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY E HUERGO APRN

Provider Business Mailing Address
First Line	:	14601 SW 37TH ST
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-3711
Country	:	US
Telephone Number	:	786-942-8781
Fax Number	:

Provider Business Practice Location Address
First Line	:	14601 SW 37TH ST
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-3711
Country	:	US
Telephone Number	:	786-942-8781
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2020
Last Update Date	:	03/11/2026

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