Healthcare Provider Details

I. General information

NPI: 1952047292
Provider Name (Legal Business Name): ASHELEY AURELIE DENIS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 WRIGHT PL FL CENTER2
CARLSBAD CA
92008-6583
US

IV. Provider business mailing address

418 SW 47TH TER
CAPE CORAL FL
33914-6506
US

V. Phone/Fax

Practice location:
  • Phone: 925-876-0768
  • Fax:
Mailing address:
  • Phone: 239-673-9034
  • Fax: 239-673-9102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95032657
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11035671
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9583993
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN95281361
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: