Ashly Brook Blackwell, RN

Individual provider Active NPI School Registered Nurse · Prescott Valley, AZ

NPI 1669717575 · NPPES record last updated Dec 4, 2012

Key facts

NPI
1669717575
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
RN172122 (AZ)
Practice address
6411 N. Robert Rd.
Humboldt Unified School District #22/550
Prescott Valley, AZ 86314
Phone
(928) 759-4042
Fax
(928) 759-4030
NPI assigned
Dec 4, 2012
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

LicenseStateTypeSpecialty
RN172122AZMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN172122 AZ Yes

Addresses

Primary practice location

6411 N. Robert Rd.
Humboldt Unified School District #22/550
Prescott Valley, AZ 86314

Mailing address

6411 N. Robert Rd.
Humboldt Unified School District #22/550
Prescott Valley, AZ 86314
Phone (928) 759-4042

Other names

  • Ashly Brook Zinkl Former name

Other providers in Prescott Valley, AZ

All providers in Prescott Valley, AZ · School Registered Nurse in Arizona

Sources for this page

Verify at the official NPI Registry.