Provider Demographics
NPI:1134808199
Name:MENDEZ, ASHLEY-MARIE MABLE (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:ASHLEY-MARIE
Middle Name:MABLE
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100223
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-3008
Mailing Address - Country:US
Mailing Address - Phone:352-265-8940
Mailing Address - Fax:352-265-8970
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3008
Practice Address - Country:US
Practice Address - Phone:352-265-8200
Practice Address - Fax:352-265-8970
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN671581363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner