Healthcare Provider Details

I. General information

NPI: 1508293820
Provider Name (Legal Business Name): ASHLEY MARIE SAGGIO GROOSE FNP-BC APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2013
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 E THOMAS RD STE 100
PHOENIX AZ
85016-7858
US

IV. Provider business mailing address

2345 E THOMAS RD STE 100
PHOENIX AZ
85016-7858
US

V. Phone/Fax

Practice location:
  • Phone: 520-485-9135
  • Fax: 480-360-2032
Mailing address:
  • Phone: 520-485-9135
  • Fax: 480-360-2032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP10583
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: