Healthcare Provider Details

I. General information

NPI: 1417894494
Provider Name (Legal Business Name): ASHLEE KEYS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3880 MURPHY CANYON RD STE 110
SAN DIEGO CA
92123-4411
US

IV. Provider business mailing address

24052 N 162ND LN
SURPRISE AZ
85387-1723
US

V. Phone/Fax

Practice location:
  • Phone: 602-491-1997
  • Fax:
Mailing address:
  • Phone: 951-623-6504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number336755
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: