Provider Demographics
NPI:1689455040
Name:ASHTON, MAYON MARITA (ARNP)
Entity Type:Individual
Prefix:MISS
First Name:MAYON
Middle Name:MARITA
Last Name:ASHTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1557 TUSCOLA RD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-4424
Mailing Address - Country:US
Mailing Address - Phone:954-857-8213
Mailing Address - Fax:
Practice Address - Street 1:1557 TUSCOLA RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-4424
Practice Address - Country:US
Practice Address - Phone:954-857-8213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11029120363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily