Basic Information
Provider Information
NPI: 1194719500
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASHBY
FirstName: ROSEMARY
MiddleName: PERKINS
NamePrefix: MRS.
NameSuffix:  
Credential: , MS, ARNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13000 BRUCE B DOWNS BLVD
Address2: 111B
City: TAMPA
State: FL
PostalCode: 336124745
CountryCode: US
TelephoneNumber: 8139722000
FaxNumber: 9139034812
Practice Location
Address1: 13000 BRUCE B DOWNS BLVD
Address2: 111B
City: TAMPA
State: FL
PostalCode: 336124745
CountryCode: US
TelephoneNumber: 8139722000
FaxNumber: 9139034812
Other Information
ProviderEnumerationDate: 08/31/2005
LastUpdateDate: 06/17/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WG0100X67856-2FLN Nursing Service ProvidersRegistered NurseGastroenterology
363LA2200X67856-2FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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