Provider Demographics
NPI:1548802499
Name:ASHLEY, ERIN ELISSA (LM, CPM)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ELISSA
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4251 S HIGUERA ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-7741
Mailing Address - Country:US
Mailing Address - Phone:805-270-4466
Mailing Address - Fax:
Practice Address - Street 1:4251 S HIGUERA ST STE 300
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-7741
Practice Address - Country:US
Practice Address - Phone:805-270-4466
Practice Address - Fax:805-855-4014
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-11
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM601176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife