MEDICARE: ASHLEY ROBARE

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024197147	VA

General Provider Information

NPI Number	:	1427986439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ROBARE

Provider Business Mailing Address
First Line	:	167 W BALVIEW AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23503-1601
Country	:	US
Telephone Number	:	480-204-8700
Fax Number	:

Provider Business Practice Location Address
First Line	:	167 W BALVIEW AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23503-1601
Country	:	US
Telephone Number	:	480-204-8700
Fax Number	:

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

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ ASHLEY ROBARE ” Practice Location

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