Healthcare Provider Details

I. General information

NPI: 1255604914
Provider Name (Legal Business Name): ASHLEY CARRO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2012
Last Update Date: 10/04/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 JACKIE ST SUITE 104
RIO RANCHO NM
87124
US

IV. Provider business mailing address

1350 JACKIE ST SUITE 104
RIO RANCHO NM
87124
US

V. Phone/Fax

Practice location:
  • Phone: 505-515-3982
  • Fax: 505-792-6060
Mailing address:
  • Phone: 505-515-3982
  • Fax: 505-792-6060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP02969
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP02969
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC600-000-85-788-0
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP-02969
License Number StateNM
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9278920
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: