MEDICARE: ASHLEY WORLEY C.N.M.

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	367A00000X	Advanced Practice Midwife	0024191128	VA

General Provider Information

NPI Number	:	1902631146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY WORLEY C.N.M.

Provider Business Mailing Address
First Line	:	213 S JEFFERSON ST STE 1006
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24011-1713
Country	:	US
Telephone Number	:	540-224-5516
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 HIGHLAND AVE SE STE 301
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24013-2253
Country	:	US
Telephone Number	:	540-985-9700
Fax Number	:	540-301-6283

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

Provider Enumeration Date	:	09/06/2024
Last Update Date	:	05/21/2026

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