Provider Demographics
NPI:1467824789
Name:BUELL, ASHLIE WILLIS (CNM, WHNP)
Entity Type:Individual
Prefix:
First Name:ASHLIE
Middle Name:WILLIS
Last Name:BUELL
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7107 JAHNKE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4017
Mailing Address - Country:US
Mailing Address - Phone:804-320-4697
Mailing Address - Fax:804-320-7130
Practice Address - Street 1:7107 JAHNKE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4017
Practice Address - Country:US
Practice Address - Phone:804-320-4697
Practice Address - Fax:804-320-7130
Is Sole Proprietor?:No
Enumeration Date:2015-10-26
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA848162163W00000X
VA0001263914163W00000X
CA95003359363LW0102X
VA0024173419363LW0102X, 367A00000X
CA235766367A00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health