Provider Demographics
NPI:1568044881
Name:PLOTT, ASHTON
Entity Type:Individual
Prefix:MRS
First Name:ASHTON
Middle Name:
Last Name:PLOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5925 FAIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84050-6788
Mailing Address - Country:US
Mailing Address - Phone:760-219-6736
Mailing Address - Fax:
Practice Address - Street 1:5925 FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:MORGAN
Practice Address - State:UT
Practice Address - Zip Code:84050-6788
Practice Address - Country:US
Practice Address - Phone:760-219-6736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9256596-4405363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care