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Individual

ASHLEY BENALLY-ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
5353 N UNION BLVD STE 202, COLORADO SPRINGS, CO 80918-2069
(970) 310-3406
(888) 965-4615
Mailing address
3449 VAUGHN VIEW DR, PUEBLO, CO 81005-9750
(719) 417-5754
(719) 888-1655

Taxonomy

Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
APN0995613
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0995613-NP
CO

Other

Enumeration date
07/16/2020
Last updated
01/15/2026
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