Healthcare Provider Details
I. General information
NPI: 1467339630
Provider Name (Legal Business Name): LAURA ASHLEY STRUBLE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/19/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1010 MANGROVE AVE STE A
CHICO CA
95926-3550
US
IV. Provider business mailing address
2 CREEK CIR
CHICO CA
95973-9632
US
V. Phone/Fax
- Phone: 530-877-5437
- Fax:
- Phone: 530-701-2781
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WE0003X |
| Taxonomy | Emergency Registered Nurse |
| License Number | 813538 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 95040502 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: