Provider Demographics
NPI:1952810871
Name:POTTS, ASHLEE ROSE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:ROSE
Last Name:POTTS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:ASHLEE
Other - Middle Name:ROSE
Other - Last Name:CASTILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1425 CREECH RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-4207
Mailing Address - Country:US
Mailing Address - Phone:239-262-0301
Mailing Address - Fax:
Practice Address - Street 1:1425 CREECH RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4207
Practice Address - Country:US
Practice Address - Phone:239-262-0301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-22
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9366067363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily