Provider Demographics
NPI:1346708054
Name:NESTLE, ASHLEY KAY
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KAY
Last Name:NESTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 N MILLS AVE STE C
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-5735
Mailing Address - Country:US
Mailing Address - Phone:407-821-3655
Mailing Address - Fax:407-821-3656
Practice Address - Street 1:401 N MILLS AVE STE C
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-5735
Practice Address - Country:US
Practice Address - Phone:407-821-3655
Practice Address - Fax:407-821-3656
Is Sole Proprietor?:No
Enumeration Date:2019-03-12
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant