Individual
MRS. ASHLEY NICHOLE KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
131 S MAIN ST STE 101, PUEBLO, CO 81003-3415
(719) 924-9398
(719) 924-9593
Mailing address
131 S MAIN ST STE 101, PUEBLO, CO 81003-3415
(719) 924-9398
(719) 924-9593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
169877
CO
363LF0000X
Family Nurse Practitioner
Primary
169877
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06D2025909
CLIA
CO
Enumeration date
01/22/2008
Last updated
12/29/2015
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