Provider Demographics
NPI:1003518283
Name:ROCK, ASHLEY DELANEY (NP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DELANEY
Last Name:ROCK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 HEWITT DR
Mailing Address - Street 2:
Mailing Address - City:N BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05257-9127
Mailing Address - Country:US
Mailing Address - Phone:540-676-2462
Mailing Address - Fax:
Practice Address - Street 1:196 HEWITT DR
Practice Address - Street 2:
Practice Address - City:N BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05257-9127
Practice Address - Country:US
Practice Address - Phone:540-676-2462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY351084363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily