Provider Demographics
NPI:1255604914
Name:CARRO, ASHLEY (ARNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:CARRO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 JACKIE ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124
Mailing Address - Country:US
Mailing Address - Phone:505-515-3982
Mailing Address - Fax:505-792-6060
Practice Address - Street 1:1350 JACKIE ST
Practice Address - Street 2:SUITE 104
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124
Practice Address - Country:US
Practice Address - Phone:505-515-3982
Practice Address - Fax:505-792-6060
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP02969363LP0808X, 363LF0000X
FLC600-000-85-788-0363LF0000X
NMCNP-02969363LF0000X
FL9278920363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health