Healthcare Provider Details

I. General information

NPI: 1164728614
Provider Name (Legal Business Name): ASHLEIGH PUTNAM ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2011
Last Update Date: 02/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 GARDEN RD STE H6
MONTEREY CA
93940-5300
US

IV. Provider business mailing address

2100 GARDEN RD STE H6
MONTEREY CA
93940-5300
US

V. Phone/Fax

Practice location:
  • Phone: 831-601-4147
  • Fax:
Mailing address:
  • Phone: 831-601-4147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-446
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: