Provider Demographics
NPI:1972702041
Name:COWARD, ASHLEY ANN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ANN
Last Name:COWARD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:ANN
Other - Last Name:RHODES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ASHLEY HARRY, APN
Mailing Address - Street 1:3222 S 70TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-5050
Mailing Address - Country:US
Mailing Address - Phone:479-785-2825
Mailing Address - Fax:479-782-6630
Practice Address - Street 1:3222 S 70TH ST
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-5050
Practice Address - Country:US
Practice Address - Phone:479-785-2825
Practice Address - Fax:479-782-6630
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01907ANP363LP0222X
ARA01907363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR181014758Medicaid
AR181014758Medicaid