Healthcare Provider Details

I. General information

NPI: 1992638993
Provider Name (Legal Business Name): ASHLEY FARRELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W HAMDEN AVE SUITE 375
ENGLEWOOD CO
80110
US

IV. Provider business mailing address

2200 QUITMAN ST
DENVER CO
80212-1116
US

V. Phone/Fax

Practice location:
  • Phone: 303-578-6318
  • Fax: 720-316-5994
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: