Provider Demographics
NPI:1497410419
Name:VOLTZ, ASHLEY DAWES (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:DAWES
Last Name:VOLTZ
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 LAKE RD # 600
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-4982
Mailing Address - Country:US
Mailing Address - Phone:979-297-7337
Mailing Address - Fax:
Practice Address - Street 1:210 LAKE RD # 600
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-4982
Practice Address - Country:US
Practice Address - Phone:979-297-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1057552363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily