Provider Demographics
NPI:1740041342
Name:FLORI, ASHLEY SHEA (APRN FNP-BC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:SHEA
Last Name:FLORI
Suffix:
Gender:F
Credentials: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 1:121 OAKBROOK CT
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-1551
Mailing Address - Country:US
Mailing Address - Phone:850-867-0691
Mailing Address - Fax:
Practice Address - Street 1:121 OAKBROOK CT
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-1551
Practice Address - Country:US
Practice Address - Phone:850-867-0691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030660363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty