Healthcare Provider Details

I. General information

NPI: 1184540643
Provider Name (Legal Business Name): LAURA ASHBROOK WEST RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 BROWN DUVALL LN
FOLSOM CA
95630-7702
US

IV. Provider business mailing address

118 BROWN DUVALL LN
FOLSOM CA
95630-7702
US

V. Phone/Fax

Practice location:
  • Phone: 916-458-1238
  • Fax:
Mailing address:
  • Phone: 916-458-1238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number95117401
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: