Provider Demographics
NPI:1639442957
Name:HOOPER, ASHLEY NICHOLE (DVM)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:NICHOLE
Last Name:HOOPER
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20610 N CAVE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-4414
Mailing Address - Country:US
Mailing Address - Phone:602-697-4694
Mailing Address - Fax:602-992-3755
Practice Address - Street 1:20610 N CAVE CREEK RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-4414
Practice Address - Country:US
Practice Address - Phone:602-697-4694
Practice Address - Fax:602-992-3755
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLVM9862174M00000X
AZ6164174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian