Provider Demographics
NPI:1295264000
Name:PENDLETON, ASHLEY CHRISTINE (ND)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:CHRISTINE
Last Name:PENDLETON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:PENDLETON
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:1130 E MISSOURI AVE
Mailing Address - Street 2:STE 850
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014
Mailing Address - Country:US
Mailing Address - Phone:602-536-9887
Mailing Address - Fax:602-563-8218
Practice Address - Street 1:1130 E MISSOURI AVE
Practice Address - Street 2:STE 850
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014
Practice Address - Country:US
Practice Address - Phone:602-536-9887
Practice Address - Fax:602-563-8218
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-06
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ17-1615175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath