Provider Demographics
NPI:1295422947
Name:COURSE, ASHLEY (AANP-N)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:COURSE
Suffix:
Gender:F
Credentials:AANP-N
Other - Prefix:DR
Other - First Name:VANITY
Other - Middle Name:
Other - Last Name:COURSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2387 E MEADOW CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VLY
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-5639
Mailing Address - Country:US
Mailing Address - Phone:602-292-0203
Mailing Address - Fax:480-225-1548
Practice Address - Street 1:333 W EASTERN AVE
Practice Address - Street 2:SUITE 2110
Practice Address - City:COOLIDGE
Practice Address - State:AZ
Practice Address - Zip Code:85142
Practice Address - Country:US
Practice Address - Phone:602-292-0203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-21
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN8735207QA0505X, 2084N0600X, 363L00000X, 175F00000X
DCRN8735175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopath
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty