Provider Demographics
NPI:1326065061
Name:ASHLEY-SMITH, ANGELA EVE (APN RN MSN)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:EVE
Last Name:ASHLEY-SMITH
Suffix:
Gender:F
Credentials:APN RN MSN
Other - Prefix:MISS
Other - First Name:ANGELA
Other - Middle Name:EVE
Other - Last Name:ASHLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, BSN, MSN
Mailing Address - Street 1:81 MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:CARTERET
Mailing Address - State:NJ
Mailing Address - Zip Code:07008-1930
Mailing Address - Country:US
Mailing Address - Phone:732-802-6040
Mailing Address - Fax:
Practice Address - Street 1:81 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:CARTERET
Practice Address - State:NJ
Practice Address - Zip Code:07008-1930
Practice Address - Country:US
Practice Address - Phone:732-802-6040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2013-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26N007890700163W00000X
NJ26NN07890700363L00000X
NYF360444-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJS86892Medicare UPIN