Healthcare Provider Details

I. General information

NPI: 1134048614
Provider Name (Legal Business Name): ASIA RIDLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3595 US HIGHWAY 50 UNIT 5
SILVER SPRINGS NV
89429-7399
US

IV. Provider business mailing address

720 S MAIN ST STE A
YERINGTON NV
89447-2474
US

V. Phone/Fax

Practice location:
  • Phone: 775-577-6434
  • Fax:
Mailing address:
  • Phone: 775-463-6597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: