Provider Demographics
NPI:1548676505
Name:HOUK, ASHLEY ALLEN (FNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ALLEN
Last Name:HOUK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 HOSPITAL DR STE 7
Mailing Address - Street 2:
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-2453
Mailing Address - Country:US
Mailing Address - Phone:276-236-5181
Mailing Address - Fax:276-236-3297
Practice Address - Street 1:199 HOSPITAL DR STE 7
Practice Address - Street 2:
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333
Practice Address - Country:US
Practice Address - Phone:276-236-5181
Practice Address - Fax:276-236-3297
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024171825363LF0000X
NC5007118363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily