Provider Demographics
NPI:1417673872
Name:WEHBE, ASHIA LAUREL
Entity Type:Individual
Prefix:
First Name:ASHIA
Middle Name:LAUREL
Last Name:WEHBE
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 1:19706 SW 83RD PLACE RD APT B-8
Mailing Address - Street 2:
Mailing Address - City:DUNNELLON
Mailing Address - State:FL
Mailing Address - Zip Code:34432-2651
Mailing Address - Country:US
Mailing Address - Phone:406-599-3474
Mailing Address - Fax:
Practice Address - Street 1:521 W FORT ISLAND TRL STE E
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-8133
Practice Address - Country:US
Practice Address - Phone:352-563-5858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11022073363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily