Provider Demographics
NPI:1346736832
Name:MCGUIRE, ASHLEY CHEYENNE (FNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:CHEYENNE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30406 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:MO
Mailing Address - Zip Code:64080-4505
Mailing Address - Country:US
Mailing Address - Phone:913-620-8403
Mailing Address - Fax:
Practice Address - Street 1:30406 WOODLAND DR
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:MO
Practice Address - Zip Code:64080-4505
Practice Address - Country:US
Practice Address - Phone:913-620-8403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS78267363LF0000X
MO2018024335363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily