Provider Demographics
NPI:1851170112
Name:BLUESTEIN, ASHLEY MARY (CNM, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARY
Last Name:BLUESTEIN
Suffix:
Gender:F
Credentials:CNM, WHNP-BC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:MARY
Other - Last Name:DESSERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1055 NW 66TH AVE
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-3405
Mailing Address - Country:US
Mailing Address - Phone:952-254-3513
Mailing Address - Fax:
Practice Address - Street 1:1625 SE 3RD AVE STE 502
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-2521
Practice Address - Country:US
Practice Address - Phone:954-581-8706
Practice Address - Fax:954-581-8705
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11028604363LW0102X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health