MEDICARE: ASHLEY FORD RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN159786	AZ

General Provider Information

NPI Number	:	1316892953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY FORD RN

Provider Business Mailing Address
First Line	:	12608 W SOLANO DR
Second Line	:
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-3836
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12608 W SOLANO DR
Second Line	:
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-3836
Country	:	US
Telephone Number	:	302-420-7206
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	02/27/2026

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