Provider Demographics
NPI:1639602931
Name:ASHITEY, ANNE MARIE CLAUDANIA (AGNP-C)
Entity type:Individual
Prefix:MRS
First Name:ANNE MARIE
Middle Name:CLAUDANIA
Last Name:ASHITEY
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:MS
Other - First Name:ANNE MARIE
Other - Middle Name:
Other - Last Name:BOTSHARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1 WEST CREEK DRIVE
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-9615
Mailing Address - Country:US
Mailing Address - Phone:585-284-8885
Mailing Address - Fax:
Practice Address - Street 1:1 WEST CREEK DRIVE
Practice Address - Street 2:
Practice Address - City:SPENCERPORT
Practice Address - State:NY
Practice Address - Zip Code:14559-9615
Practice Address - Country:US
Practice Address - Phone:585-284-8885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-04
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYAG05250037363LP2300X
NY726278163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse