1821256751 NPI number — MS. ASHLEY CAROLYN BROUWER MSN, WHNP-BC, ANP-BC

Table of content: MS. ASHLEY CAROLYN BROUWER MSN, WHNP-BC, ANP-BC (NPI 1821256751)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821256751 NPI number — MS. ASHLEY CAROLYN BROUWER MSN, WHNP-BC, ANP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROUWER
Provider First Name:
ASHLEY
Provider Middle Name:
CAROLYN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSN, WHNP-BC, ANP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BROUWER
Provider Other First Name:
ASHLEY
Provider Other Middle Name:
C.
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
N.P.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1821256751
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/09/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
607 OLD STEESE HWY # B-173
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FAIRBANKS
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99701-3163
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-405-0467
Provider Business Mailing Address Fax Number:
888-414-9445

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1744 FARMERS LOOP RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FAIRBANKS
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99709-6713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-405-0467
Provider Business Practice Location Address Fax Number:
888-414-9445
Provider Enumeration Date:
05/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  157718 , registered in the state of AK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1714669 , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".




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