Provider Demographics
NPI:1790497428
Name:ESPINOZA, ASHLEY LYN KLEIN (APRN)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:LYN KLEIN
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12017 CITRUS FALLS CIR APT 102
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-5720
Mailing Address - Country:US
Mailing Address - Phone:312-343-0562
Mailing Address - Fax:
Practice Address - Street 1:7901 4TH ST N # 8522
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-4305
Practice Address - Country:US
Practice Address - Phone:312-343-0562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-13
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11028914363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health