Provider Demographics
NPI:1154947844
Name:THAYER, ASHLEY AMELIA (DNP, BSN, AGNP-BC)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:AMELIA
Last Name:THAYER
Suffix:
Gender:F
Credentials:DNP, BSN, AGNP-BC
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:AMELIA
Other - Last Name:ARTIERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, BSN, AGNP-BC
Mailing Address - Street 1:4354 MAPLETON RD
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-9652
Mailing Address - Country:US
Mailing Address - Phone:716-807-2740
Mailing Address - Fax:
Practice Address - Street 1:156 WILLIAM ST RM 303
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-5307
Practice Address - Country:US
Practice Address - Phone:888-803-3370
Practice Address - Fax:888-803-3331
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-18
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61074479363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health