Provider Demographics
NPI:1164810768
Name:CLEARWATER, ASHLI K (RN, FNP)
Entity Type:Individual
Prefix:
First Name:ASHLI
Middle Name:K
Last Name:CLEARWATER
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10400 SPRING GREEN DR
Mailing Address - Street 2:#110
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5753
Mailing Address - Country:US
Mailing Address - Phone:630-918-1072
Mailing Address - Fax:
Practice Address - Street 1:8575 E ARAPAHOE RD
Practice Address - Street 2:SUITE K
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80112-1435
Practice Address - Country:US
Practice Address - Phone:303-770-0028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0991731-NP363LF0000X
CORN.1631118163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse