Healthcare Provider Details

I. General information

NPI: 1790614907
Provider Name (Legal Business Name): ASHLEY M NAVARRETE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY HORNELAS

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11011 Q ST STE 101
OMAHA NE
68137-3700
US

IV. Provider business mailing address

2711 W 20TH ST
NORTH PLATTE NE
69101-2098
US

V. Phone/Fax

Practice location:
  • Phone: 402-460-7627
  • Fax:
Mailing address:
  • Phone: 402-315-2329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: