Healthcare Provider Details

I. General information

NPI: 1649183476
Provider Name (Legal Business Name): ASHLEY STANCLIFFE MSN, RN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY STANCLIFFE GRAY

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32430 CROWN VALLEY PKWY APT 203
DANA POINT CA
92629-3325
US

IV. Provider business mailing address

32430 CROWN VALLEY PKWY APT 203
DANA POINT CA
92629-3325
US

V. Phone/Fax

Practice location:
  • Phone: 661-496-2947
  • Fax:
Mailing address:
  • Phone: 661-496-2947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95421634
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95041602
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: