Healthcare Provider Details

I. General information

NPI: 1235995481
Provider Name (Legal Business Name): ASHLEY SILVEY AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 E BASELINE RD
MESA AZ
85206-4709
US

IV. Provider business mailing address

5555 E BASELINE RD
MESA AZ
85206-4709
US

V. Phone/Fax

Practice location:
  • Phone: 480-393-0575
  • Fax:
Mailing address:
  • Phone: 480-393-0575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number234885
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163WF0300X
TaxonomyFlight Registered Nurse
License NumberRN159407
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number338288
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: