Provider Demographics
NPI:1891759015
Name:ASHBROOK, KAY ANN (CFNP)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:ANN
Last Name:ASHBROOK
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 MOSES GRANDY TRL
Mailing Address - Street 2:SUTIE D
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-6712
Mailing Address - Country:US
Mailing Address - Phone:757-485-3600
Mailing Address - Fax:757-485-9458
Practice Address - Street 1:2605 MOSES GRANDY TRL
Practice Address - Street 2:SUTIE D
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-6712
Practice Address - Country:US
Practice Address - Phone:757-485-3600
Practice Address - Fax:757-485-9458
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0017001436363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAS57987Medicare UPIN
VA006478M13Medicare PIN
VAP00261199Medicare PIN