Provider Demographics
NPI:1659730042
Name:MCCREADY, ASHLEY GUNTER (NP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:GUNTER
Last Name:MCCREADY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 INTERNATIONAL CIR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21030-1334
Mailing Address - Country:US
Mailing Address - Phone:410-433-2200
Mailing Address - Fax:
Practice Address - Street 1:301 INTERNATIONAL CIR
Practice Address - Street 2:SUITE 100
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21030-1334
Practice Address - Country:US
Practice Address - Phone:410-433-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR204380363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily