Provider Demographics
NPI:1184962409
Name:RODRIQUEZ (CURRENT NAME), ASHLEIGH A (APRN FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ASHLEIGH
Middle Name:A
Last Name:RODRIQUEZ (CURRENT NAME)
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:MS
Other - First Name:ASHLEIGH
Other - Middle Name:A
Other - Last Name:DEEGAN (PREVIOUS NAME)
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2370 CORPORATE CIR STE 300
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7760
Mailing Address - Country:US
Mailing Address - Phone:702-910-3950
Mailing Address - Fax:702-778-2264
Practice Address - Street 1:5255 E WILLIAMS CIR STE 2020
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-7454
Practice Address - Country:US
Practice Address - Phone:520-392-8400
Practice Address - Fax:520-393-3244
Is Sole Proprietor?:No
Enumeration Date:2013-01-21
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAP5294363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ866368Medicaid
AZ866368Medicaid