Healthcare Provider Details

I. General information

NPI: 1780090704
Provider Name (Legal Business Name): AMBER ENSLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMBER PEASLEY

II. Dates (important events)

Enumeration Date: 07/10/2014
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 UNIVERSITY DR STE 8
MENLO PARK CA
94025-4254
US

IV. Provider business mailing address

70 WOODFIN PL STE WW3B
ASHEVILLE NC
28801-2569
US

V. Phone/Fax

Practice location:
  • Phone: 888-731-8994
  • Fax:
Mailing address:
  • Phone: 828-209-8920
  • Fax: 828-498-3143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberC-APN.0100188-C-CNM
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number5020699
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236382
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number22017
License Number StateTN
# 6
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11032588
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number2344
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: