Provider Demographics
NPI:1053862078
Name:MORELLO, ASHLEY M (AGACNP-BC, RN)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:M
Last Name:MORELLO
Suffix:
Gender:F
Credentials:AGACNP-BC, RN
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:MARGARET
Other - Last Name:SMYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AGACNP-BC, RN
Mailing Address - Street 1:11082 MOKI RD
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308-9435
Mailing Address - Country:US
Mailing Address - Phone:909-856-8541
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSAL PAIN MANAGEMENT
Practice Address - Street 2:16179 SISKIYOU
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307
Practice Address - Country:US
Practice Address - Phone:760-241-0350
Practice Address - Fax:760-243-0738
Is Sole Proprietor?:No
Enumeration Date:2016-10-14
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA799701163W00000X
AZ261925163W00000X, 363L00000X
NVRN72086163W00000X
RIRN73832163W00000X
TX1086176163W00000X, 363LA2200X
RIAPRN03229363L00000X
NVNV847617363LG0600X
CA95005621363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology