Healthcare Provider Details

I. General information

NPI: 1750756292
Provider Name (Legal Business Name): ASHLEY MABRY ARNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY N MCELHINNY

II. Dates (important events)

Enumeration Date: 12/09/2015
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 S 3RD ST
SHELTON WA
98584-3533
US

IV. Provider business mailing address

221 W RAILROAD AVE STE K
SHELTON WA
98584-3507
US

V. Phone/Fax

Practice location:
  • Phone: 360-358-3039
  • Fax: 651-666-1427
Mailing address:
  • Phone: 360-358-1445
  • Fax: 651-666-1427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61479900
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: