Individual
ANNA LEE ASHLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
141 W COMMERCIAL ST, PORTLAND, ME 04102-3905
(207) 623-8411
Mailing address
141 W COMMERCIAL ST, PORTLAND, ME 04102-3905
(877) 421-8263
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08752
NC
363AM0700X
Medical Physician Assistant
0010-08752
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679046700
—
NC
01
—
201VQ
BCBS OF NC
NC
01
—
NN6367A
MEDICARE
NC
Enumeration date
01/11/2019
Last updated
02/25/2026
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