Healthcare Provider Details

I. General information

NPI: 1194687004
Provider Name (Legal Business Name): ASHLEY REICHENBACH FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 N ROOSEVELT AVE
CHANDLER AZ
85226-2617
US

IV. Provider business mailing address

19613 W GRANT ST
BUCKEYE AZ
85326-8180
US

V. Phone/Fax

Practice location:
  • Phone: 480-677-8282
  • Fax: 844-750-0309
Mailing address:
  • Phone: 480-486-2626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number243817
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: