Clarice Ashley, RN
Individual provider Active NPI Medical-Surgical Registered Nurse · Gallup, NM
NPI 1609061217 · NPPES record last updated Sep 7, 2007
Key facts
- NPI
- 1609061217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- RN132295 (AZ)
- Practice address
- 516 Nizhoni Blvd
Gallup, NM 87301-5748 - Phone
- (505) 722-1000
- Fax
- (505) 722-1310
- NPI assigned
- Sep 7, 2007
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN132295 | AZ | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | RN132295 | AZ | Yes |
Addresses
Primary practice location
516 Nizhoni Blvd
Gallup, NM 87301-5748
Mailing address
PO Box 1337
Gallup, NM 87305-1337
Phone (505) 722-1000
Other providers in Gallup, NM
- Fernando Javier Arzola
- Sierra Rose Yazzie Asamoa-Tutu
- Alyssa Ashley
- Amber Dawn Ashley
- Carole Ashley
- Melissa Ashley
- Michael J Ashlock
- Anthony Hans Aspaas
- Nicole Robin Atcitty
- Kathleen Cheryl Atene
All providers in Gallup, NM · Medical-Surgical Registered Nurse 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 Sep 7, 2007. 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.