Provider Demographics
NPI:1609413731
Name:MORMAN, ASHLEE MARIE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:MARIE
Last Name:MORMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:MARIE
Other - Last Name:WHITFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 W WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:IA
Mailing Address - Zip Code:50212-2046
Mailing Address - Country:US
Mailing Address - Phone:877-424-9321
Mailing Address - Fax:
Practice Address - Street 1:125 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:IA
Practice Address - Zip Code:50212-2046
Practice Address - Country:US
Practice Address - Phone:877-424-9321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-09
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAF11190823363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily