Ashley D Guthrie, NP

Individual provider Active NPI Nurse Practitioner · East Ridge, TN

NPI 1770522617 · NPPES record last updated Mar 24, 2008

Key facts

NPI
1770522617
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
APN0000008243 (TN)
Practice address
403 McBrien Rd
East Ridge, TN 37412-3223
Phone
(423) 894-3589
Fax
(423) 892-3378
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8243TNMDPharmacist
APN0000008243TNMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000008243 TN Yes

Addresses

Primary practice location

403 McBrien Rd
East Ridge, TN 37412-3223

Mailing address

6170 Shallowford Rd
101
Chattanooga, TN 37421-1892
Phone (423) 648-4500

Other providers in East Ridge, TN

All providers in East Ridge, TN · Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.