Provider Demographics
NPI:1235962549
Name:MESKILL, ASHLEY ENGLE (NP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ENGLE
Last Name:MESKILL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 WARREN PL
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2528
Mailing Address - Country:US
Mailing Address - Phone:646-217-1989
Mailing Address - Fax:
Practice Address - Street 1:29 WARREN PL
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2528
Practice Address - Country:US
Practice Address - Phone:646-217-1989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344763363LF0000X
NJ26NJ15124800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty