Healthcare Provider Details

I. General information

NPI: 1871470708
Provider Name (Legal Business Name): ASHLEY NICOLE SAVAGE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 E BUENA SCHOOL BLVD
SIERRA VISTA AZ
85635-2392
US

IV. Provider business mailing address

9235 S SPRINGTAIL DR
HEREFORD AZ
85615-9795
US

V. Phone/Fax

Practice location:
  • Phone: 520-515-2800
  • Fax:
Mailing address:
  • Phone: 520-236-4827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN199882
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: