MEDICARE: ASHLEY ROSE BARTON 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	11021116	FL

General Provider Information

NPI Number	:	1124756077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ROSE BARTON APRN

Provider Business Mailing Address
First Line	:	5907 BEACON SHORES ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33616-1462
Country	:	US
Telephone Number	:	727-543-5180
Fax Number	:

Provider Business Practice Location Address
First Line	:	5907 BEACON SHORES ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33616-1462
Country	:	US
Telephone Number	:	727-543-5180
Fax Number	:

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

Provider Enumeration Date	:	08/09/2022
Last Update Date	:	08/09/2022

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Directions to “ ASHLEY ROSE BARTON APRN” Practice Location

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