Provider Demographics
NPI:1043511892
Name:ASH, SHEILA MARIE (CNS RXN)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:MARIE
Last Name:ASH
Suffix:
Gender:F
Credentials:CNS RXN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 6TH ST
Mailing Address - Street 2:STE D
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550
Mailing Address - Country:US
Mailing Address - Phone:970-495-4685
Mailing Address - Fax:970-674-3309
Practice Address - Street 1:128 6TH ST
Practice Address - Street 2:STE D
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550
Practice Address - Country:US
Practice Address - Phone:970-495-4685
Practice Address - Fax:970-674-3309
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCORN126077364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1400530OtherDEA