Reid, Ashley Nichole

Reid, Ashley Nichole is an individual health care provider with primary practice located at 2040 Tamiami Trl Suite C, Port Charlotte FL 33948-2178. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Reid, Ashley Nichole can be contacted via phone (941) 629-4464.

Contact Information

Primary practice address
2040 Tamiami Trl Suite C Port Charlotte FL 33948-2178
Fax: (941) 629-4701
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAT9106772 Florida

Profile Details

NPI number 1962752279
LBN Legal business name Reid, Ashley Nichole
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2012
Last updated May 13th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962752279 NPPES
Florida MEDICAID 007956400

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