MEDICARE: ASHLEIGH BROOKE WARREN 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	5013994	NC

General Provider Information

NPI Number	:	1265022776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEIGH BROOKE WARREN FNP

Provider Business Mailing Address
First Line	:	1504 2ND ST NE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-2551
Country	:	US
Telephone Number	:	828-322-3037
Fax Number	:

Provider Business Practice Location Address
First Line	:	3521 GRAYSTONE PL SE STE 202
Second Line	:
City	:	CONOVER
State	:	NC
Zip	:	28613-8269
Country	:	US
Telephone Number	:	828-732-5700
Fax Number	:

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

Provider Enumeration Date	:	01/20/2021
Last Update Date	:	12/08/2023

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