Healthcare Provider Details

I. General information

NPI: 1508081092
Provider Name (Legal Business Name): ASHLEY SENS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 01/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 W COVELL BLVD WOODLAND HEALTHCARE DAVIS
DAVIS CA
95616-5658
US

IV. Provider business mailing address

2330 W COVELL BLVD WOODLAND HEALTHCARE DAVIS
DAVIS CA
95616-5658
US

V. Phone/Fax

Practice location:
  • Phone: 530-756-2364
  • Fax:
Mailing address:
  • Phone: 530-756-2364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberRT 1729
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number14908
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberN9954
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA128529
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: