Provider Demographics
NPI:1821256751
Name:BROUWER, ASHLEY CAROLYN (MSN, WHNP-BC, ANP-BC)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:CAROLYN
Last Name:BROUWER
Suffix:
Gender:F
Credentials:MSN, WHNP-BC, ANP-BC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:C
Other - Last Name:BROUWER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:104 WOODMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:615-467-7400
Mailing Address - Fax:
Practice Address - Street 1:1211 CUSHMAN ST STE 205
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4680
Practice Address - Country:US
Practice Address - Phone:907-328-0989
Practice Address - Fax:855-259-0324
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13181363LW0102X
AK157718363LA2200X
TNAPN13181363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1509236Medicaid
TN6071650OtherBCBS TN
KY7100129620Medicaid
TN1509236Medicaid