Healthcare Provider Details
I. General information
NPI: 1437635893
Provider Name (Legal Business Name): ASHLEY ANNE CALDWELL APRN-CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/18/2018
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1760 E PECOS RD STE 516
GILBERT AZ
85295-3205
US
IV. Provider business mailing address
1661 E CAMELBACK RD STE 200
PHOENIX AZ
85016-3913
US
V. Phone/Fax
- Phone: 405-695-9379
- Fax:
- Phone: 623-231-3686
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WM0102X |
| Taxonomy | Maternal Newborn Registered Nurse |
| License Number | 102250 |
| License Number State | OK |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | AP11696 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: