Healthcare Provider Details

I. General information

NPI: 1538586326
Provider Name (Legal Business Name): ASHLEY DION SALTER-GREEN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY SALTER

II. Dates (important events)

Enumeration Date: 03/18/2014
Last Update Date: 03/18/2024
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W FIR AVE STE 101
CLOVIS CA
93611-0223
US

IV. Provider business mailing address

PO BOX 28949
FRESNO CA
93729-8949
US

V. Phone/Fax

Practice location:
  • Phone: 559-299-7294
  • Fax: 559-299-0641
Mailing address:
  • Phone: 559-228-5400
  • Fax: 559-228-4412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95019025
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: