Healthcare Provider Details

I. General information

NPI: 1942582739
Provider Name (Legal Business Name): ASHLEY STEMLEY P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH ASHLEY WRIGHT P.A.-C

II. Dates (important events)

Enumeration Date: 09/16/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 TERRACINA BLVD
REDLANDS CA
92373-4850
US

IV. Provider business mailing address

350 TERRACINA BLVD
REDLANDS CA
92373-4850
US

V. Phone/Fax

Practice location:
  • Phone: 909-335-5600
  • Fax:
Mailing address:
  • Phone: 909-335-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA21822
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: