Healthcare Provider Details

I. General information

NPI: 1811826738
Provider Name (Legal Business Name): ASHLEE REBECCA PULVER PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEE REBECCA ALFORD

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3739 MOJO CT
CASTLE ROCK CO
80108-7868
US

IV. Provider business mailing address

3739 MOJO CT
CASTLE ROCK CO
80108-7868
US

V. Phone/Fax

Practice location:
  • Phone: 864-921-4126
  • Fax:
Mailing address:
  • Phone: 864-921-4126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1664019
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: