Healthcare Provider Details

I. General information

NPI: 1497138267
Provider Name (Legal Business Name): ASHLEY PYNE READ NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2015
Last Update Date: 12/24/2021
Certification Date: 12/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 S UNION BLVD STE 315
COLORADO SPRINGS CO
80910-3126
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 719-365-3700
  • Fax: 719-365-3701
Mailing address:
  • Phone: 970-624-4034
  • Fax: 970-490-4347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPN. 0991764 - NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: