Doctor Name: | ASHLEY GORTEMOLLER BRIGGS |
NPI Number: | 1235432261 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 3407702 |
Business Practice Address: | 600 8th Street South Suite A St. Petersburg, FL - 33701 |
Business Phone Number: | 7273298830 |
Business Fax Number: | 7273298840 |
Mailing Address: | 600 8th St S, Suite A ST PETERSBURG |
State: | FL |
Postal Code: | 337014730 |
Phone Number: | 7273298833 |
Fax Number: | 7273298840 |
NPI Enumeration Date: | 12/14/2010 |
NPI Last Update Date: | 12/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 3407702 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |