Provider Demographics
NPI:1043842891
Name:MATTHEWS, ASHLEE ANN (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:ANN
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9901 BRODIE LN STE 160
Mailing Address - Street 2:BOX 1189
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-5892
Mailing Address - Country:US
Mailing Address - Phone:737-443-0119
Mailing Address - Fax:512-514-0916
Practice Address - Street 1:7701 RIALTO BLVD APT 128
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-7402
Practice Address - Country:US
Practice Address - Phone:512-698-2556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-10
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX871042163W00000X
TX1042598363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse