# ASHLEY BOURGOIS LABANCA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053807917
- **Gender:** F
- **Credential:** PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 84476 | KS | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN.CNP.0038181 | OH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F404120 | NY | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | G189797 | IA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | R37952 | ND | — |

## Other

- **Enumeration date:** 07/03/2018
- **Last updated:** 03/10/2026