Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 810469 | NV |
Y | 363LP2300X | Nurse Practitioner - Primary Care | C-APN.0002690-C-NP | CO |
NPI | 1043815335 |
---|---|
Provider Name | Ashley Pritchard |
First Address | Colorado Springs, CO 80920-3945 |
Second Address | Las Vegas, NV 89130-3868 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2020 |
Last Update Date | 08/06/2021 |