MEDICARE: MRS. ANNE MARIE CLAUDANIA ASHITEY AGNP-C

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	363LP2300X	Primary Care Nurse Practitioner	AG05250037	NY
2	163W00000X	Registered Nurse	726278	NY

General Provider Information

NPI Number	:	1639602931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNE MARIE CLAUDANIA ASHITEY AGNP-C

Provider Business Mailing Address
First Line	:	1 WEST CREEK DRIVE
Second Line	:
City	:	SPENCERPORT
State	:	NY
Zip	:	14559-9615
Country	:	US
Telephone Number	:	585-284-8885
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 WEST CREEK DRIVE
Second Line	:
City	:	SPENCERPORT
State	:	NY
Zip	:	14559-9615
Country	:	US
Telephone Number	:	585-284-8885
Fax Number	:

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

Provider Enumeration Date	:	04/04/2017
Last Update Date	:	07/29/2025

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