Provider Demographics
NPI:1649532771
Name:STRACHAN, ASHTON TUREAUD (FNP-C, WHNP-BC, APRN)
Entity type:Individual
Prefix:MRS
First Name:ASHTON
Middle Name:TUREAUD
Last Name:STRACHAN
Suffix:
Gender:F
Credentials:FNP-C, WHNP-BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 FERST DRIVE NW STAMPS STUDENT HEALTH CENTER
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30332-0001
Mailing Address - Country:US
Mailing Address - Phone:404-894-1434
Mailing Address - Fax:
Practice Address - Street 1:740 FERST DRIVE NW STAMPS STUDENT HEALTH CENTER
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30332-2610
Practice Address - Country:US
Practice Address - Phone:404-894-1434
Practice Address - Fax:205-975-6193
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-117908363LF0000X
GARN286625363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
104067225OtherNATIONAL CERTIFICATION CORPORATION
ALF0212223OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
AL1-117908OtherRN