Provider Demographics
NPI:1427627611
Name:TERBROCK, ASHLEY MARIE (FNP)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:MARIE
Last Name:TERBROCK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:78 WELDON PKWY
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-3202
Mailing Address - Country:US
Mailing Address - Phone:314-513-1870
Mailing Address - Fax:314-513-1869
Practice Address - Street 1:78 WELDON PKWY
Practice Address - Street 2:
Practice Address - City:MARYLAND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63043-3202
Practice Address - Country:US
Practice Address - Phone:314-513-1870
Practice Address - Fax:314-513-1869
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2021022257363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily