Provider Demographics
NPI:1851084156
Name:MASTERS, ASHLEY COLLETTE (FNP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:COLLETTE
Last Name:MASTERS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2273 VENTANA PATH
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-7745
Mailing Address - Country:US
Mailing Address - Phone:828-381-2611
Mailing Address - Fax:
Practice Address - Street 1:2273 VENTANA PATH
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-7745
Practice Address - Country:US
Practice Address - Phone:828-381-2611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN306326363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily