Provider Demographics
NPI:1730730896
Name:KHARGU, ASHTI DEVI (APRN)
Entity type:Individual
Prefix:
First Name:ASHTI
Middle Name:DEVI
Last Name:KHARGU
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 131ST ST STE 1&2
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33776-4017
Mailing Address - Country:US
Mailing Address - Phone:727-400-0123
Mailing Address - Fax:
Practice Address - Street 1:7777 131ST ST STE 1&2
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33776-4017
Practice Address - Country:US
Practice Address - Phone:727-400-0123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-20
Last Update Date:2024-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003867363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily