MEDICARE: ASHLEY MCFARLANE APRN

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	363L00000X	Nurse Practitioner	APRN11017870	FL

General Provider Information

NPI Number	:	1992585863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY MCFARLANE APRN

Provider Business Mailing Address
First Line	:	675 S BABCOCK ST
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-1459
Country	:	US
Telephone Number	:	321-951-1010
Fax Number	:	321-952-4038

Provider Business Practice Location Address
First Line	:	5200 BABCOCK ST NE STE 107
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32905-4639
Country	:	US
Telephone Number	:	321-729-9306
Fax Number	:	321-729-8050

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

Provider Enumeration Date	:	09/29/2023
Last Update Date	:	09/29/2023

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Directions to “ ASHLEY MCFARLANE APRN” Practice Location

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