Provider Demographics
NPI:1649752791
Name:WAYBRIGHT, ASHLEY CATHERINE (FNP-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:CATHERINE
Last Name:WAYBRIGHT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 MACCORKLE AVE SE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1223
Mailing Address - Country:US
Mailing Address - Phone:304-345-4031
Mailing Address - Fax:304-344-0328
Practice Address - Street 1:3100 MACCORKLE AVE SE STE 904
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1234
Practice Address - Country:US
Practice Address - Phone:304-345-4031
Practice Address - Fax:304-344-0328
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV61563363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner