Provider Demographics
NPI:1497021885
Name:AVILA, ASHTON SHEA (WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ASHTON
Middle Name:SHEA
Last Name:AVILA
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7121 SPID DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-4940
Mailing Address - Country:US
Mailing Address - Phone:361-993-6000
Mailing Address - Fax:361-993-3676
Practice Address - Street 1:7121 SPID DR STE 118
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-4946
Practice Address - Country:US
Practice Address - Phone:361-694-6054
Practice Address - Fax:361-980-1248
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX763664363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health