Healthcare Provider Details

I. General information

NPI: 1477478840
Provider Name (Legal Business Name): ASHLEE FISHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3063 THUNDER CLOUD DR
GRAND JUNCTION CO
81504-6523
US

IV. Provider business mailing address

3063 THUNDER CLOUD DR
GRAND JUNCTION CO
81504-6523
US

V. Phone/Fax

Practice location:
  • Phone: 970-201-7574
  • Fax:
Mailing address:
  • Phone: 970-201-7574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1002315
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: