Individual
ASHLEY RAE MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
777 E FOOTHILL BLVD, SAN LUIS OBISPO, CA 93405-1617
(805) 762-4348
Mailing address
PO BOX 689, SANTA BARBARA, CA 93102-0689
(056) 827-1118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95016442
CA
363LF0000X
Family Nurse Practitioner
TAP10604
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325476
—
AZ
01
—
95016442
NURSE PRACTITIONER
CA
01
—
Z208603
MEDICARE
AZ
Enumeration date
09/22/2017
Last updated
08/08/2024
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