MEDICARE: MRS. ASHLEY BOUSQUET FNP

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	898640	NV

General Provider Information

NPI Number	:	1225814288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY BOUSQUET FNP

Provider Business Mailing Address
First Line	:	1592 RENO VIEW DR
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-9175
Country	:	US
Telephone Number	:	310-525-0507
Fax Number	:

Provider Business Practice Location Address
First Line	:	1592 RENO VIEW DR
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-9175
Country	:	US
Telephone Number	:	310-525-0507
Fax Number	:

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

Provider Enumeration Date	:	09/06/2023
Last Update Date	:	02/19/2026

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