Provider Demographics
NPI:1932494978
Name:ASHFORD, DEBORAH ROMERO (FNP-C)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ROMERO
Last Name:ASHFORD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 RUE DE LA VIE ST
Mailing Address - Street 2:STE 310
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-5128
Mailing Address - Country:US
Mailing Address - Phone:225-201-0413
Mailing Address - Fax:225-935-2190
Practice Address - Street 1:15375 TOM DREHR RD
Practice Address - Street 2:
Practice Address - City:PRIDE
Practice Address - State:LA
Practice Address - Zip Code:70770-9218
Practice Address - Country:US
Practice Address - Phone:225-603-7838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN074663-AP06479363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily