Individual
ASHLEY OVERALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2500 S WOODLANDS VILLAGE BLVD STE 12, FLAGSTAFF, AZ 86001-6373
(928) 774-2951
Mailing address
719 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87108-1434
(505) 485-0464
(505) 266-1017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226709
AZ
363LF0000X
Family Nurse Practitioner
APN.0994337-NP
CO
363LF0000X
Family Nurse Practitioner
APRN.CNP.022400
OH
363LP0200X
Pediatric Nurse Practitioner
APRN.CNP.022400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0271844
—
OH
05
—
9000187490
—
CO
Enumeration date
03/20/2018
Last updated
07/27/2022
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