Provider Demographics
NPI:1689270597
Name:SOLOMON, ASHLEY ANNE (AGACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ANNE
Last Name:SOLOMON
Suffix:
Gender:
Credentials:AGACNP-BC
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:ANNE
Other - Last Name:WEAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 CAMPUS DR UNIT 125
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-7171
Mailing Address - Country:US
Mailing Address - Phone:207-883-0069
Mailing Address - Fax:207-883-0999
Practice Address - Street 1:100 CAMPUS DR UNIT 125
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-7171
Practice Address - Country:US
Practice Address - Phone:207-883-0069
Practice Address - Fax:207-883-0999
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0995926-NP363LA2100X
MECNP251042363LG0600X, 363LA2100X
NC5018371363L00000X
MERN89680163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant