Provider Demographics
NPI:1902931231
Name:MCCABE, ASHLEY G (ANP)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:G
Last Name:MCCABE
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1924 B CAMBRIA DRIVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-0093
Mailing Address - Country:US
Mailing Address - Phone:252-364-1990
Mailing Address - Fax:252-364-1990
Practice Address - Street 1:2100 STANTONSBURG ROAD
Practice Address - Street 2:EAST CAROLINA HEART INSTITUTE
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27835
Practice Address - Country:US
Practice Address - Phone:252-847-4100
Practice Address - Fax:252-847-2213
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN06451900363LA2100X
NJNJ26NN06451900363LA2200X
NJSP007695363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ564154Medicare UPIN