Healthcare Provider Details

I. General information

NPI: 1437094737
Provider Name (Legal Business Name): ASHLEY RENAE GEORGE RN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 MAIN ST
ELLENDALE DE
19941-2066
US

IV. Provider business mailing address

11361 N 99TH AVE STE 402
PEORIA AZ
85345-5459
US

V. Phone/Fax

Practice location:
  • Phone: 302-424-5660
  • Fax: 302-424-5661
Mailing address:
  • Phone: 602-650-1212
  • Fax: 602-636-5283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL1-0055569
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: