Ashley Addington
Individual provider Active NPI Surgical Technologist · Gallup, NM
NPI 1104584903 · NPPES record last updated Nov 30, 2021
Key facts
- NPI
- 1104584903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Technologist 246ZS0410X
- License
- 152472 (OK)
- Practice address
- 516 E Nizhoni Blvd
Gallup, NM 87301-5748 - Phone
- (505) 722-1000
- NPI assigned
- Nov 30, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152472 | OK | MD | Surgical Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 152472 | OK | Yes |
Addresses
Primary practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Mailing address
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000
Other providers in Gallup, NM
- David Abeles
- Victor Abramsky
- Jody Marie Acord
- Gianinna Karinell Acosta
- Robin Acothley
- Oladipo A Adeniyi
- Micki Lynn Adkins
- Shoghi Arrey Agbortoko
- Joshua Aggson
- Carmelita Agodon
All providers in Gallup, NM · Surgical Technologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.