Ashley Nichole Nelson, DPT, PT
Individual provider Active NPI Specialist · Angels Camp, CA
NPI 1699048744 · NPPES record last updated Mar 19, 2012
Key facts
- NPI
- 1699048744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 38746 (CA)
- Practice address
- 571 Stanislaus Ave
Suite F
Angels Camp, CA 95222-9354 - Phone
- (209) 736-9056
- Fax
- (209) 736-9058
- NPI assigned
- Feb 21, 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 38746 | CA | Yes |
Addresses
Primary practice location
571 Stanislaus Ave
Suite F
Angels Camp, CA 95222-9354
Mailing address
PO Box 637
Angels Camp, CA 95221-0637
Phone (209) 736-9056
Other names
- Ashley Nichole Fitzgerald
Other providers in Angels Camp, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2012. 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.