Mishra, Ashley Rae

Mishra, Ashley Rae is an individual health care provider with primary practice located at 777 E Foothill Blvd , San Luis Obispo CA 93405-1617. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mishra, Ashley Rae can be contacted via phone (805) 762-4348.

Contact Information

Primary practice address
777 E Foothill Blvd San Luis Obispo CA 93405-1617
Phone: (805) 762-4348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X TAP10604 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95016442 California

Profile Details

NPI number 1235648171
LBN Legal business name Mishra, Ashley Rae
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2017
Last updated Aug 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235648171 NPPES
Arizona MEDICAID 325476
Arizona Other Z208603
Arizona Other 95016442

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