Provider Demographics
NPI:1104616168
Name:KAMRATH, ASHLEY RAE (APRN FNP-C)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RAE
Last Name:KAMRATH
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 27TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-5128
Mailing Address - Country:US
Mailing Address - Phone:405-721-4540
Mailing Address - Fax:
Practice Address - Street 1:2230 27TH AVE STE 3
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-5128
Practice Address - Country:US
Practice Address - Phone:405-721-4540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-263646363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily