Basic Information
Provider Information
NPI: 1720705940
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CATTON
FirstName: ASHLEIGH
MiddleName: KAY
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5 CITATION DR
Address2:  
City: DURHAM
State: NC
PostalCode: 277139151
CountryCode: US
TelephoneNumber: 8103607962
FaxNumber:  
Practice Location
Address1: 1105 SIXTH ST
Address2:  
City: TRAVERSE CITY
State: MI
PostalCode: 496842345
CountryCode: US
TelephoneNumber: 2319355000
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/27/2022
LastUpdateDate: 10/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP2300X4704322515MIY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care

No ID Information.


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