Provider Demographics
NPI:1902335557
Name:ASHMORE, NATALIE DAWN (FNP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:DAWN
Last Name:ASHMORE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:DAWN
Other - Last Name:MAYNARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5409
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79608-5409
Mailing Address - Country:US
Mailing Address - Phone:325-793-5148
Mailing Address - Fax:325-793-5147
Practice Address - Street 1:1665 ANTILLEY RD STE 120
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606
Practice Address - Country:US
Practice Address - Phone:325-793-5148
Practice Address - Fax:325-793-5147
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133970363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily