Healthcare Provider Details

I. General information

NPI: 1922726017
Provider Name (Legal Business Name): ASHLEY DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2022
Last Update Date: 08/16/2022
Certification Date: 08/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 E ARAPAHOE RD
CENTENNIAL CO
80122-2300
US

IV. Provider business mailing address

5555 E ARAPAHOE RD
CENTENNIAL CO
80122-2300
US

V. Phone/Fax

Practice location:
  • Phone: 303-338-4545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number1655303
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: