Provider Demographics
NPI:1467261784
Name:MEHTA, ASHLEY WARNER (RN, BSN, CLC, IBCLC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:WARNER
Last Name:MEHTA
Suffix:
Gender:F
Credentials:RN, BSN, CLC, IBCLC
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:WARNER
Other - Last Name:MEHTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ASHLEY NICOLE WARNER
Mailing Address - Street 1:6720 CALLE KORAL APT 101
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-5364
Mailing Address - Country:US
Mailing Address - Phone:832-707-5658
Mailing Address - Fax:
Practice Address - Street 1:6720 CALLE KORAL APT 101
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-5364
Practice Address - Country:US
Practice Address - Phone:832-707-5658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-01
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95362874163W00000X
374J00000X
CAL-316423163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163W00000XNursing Service ProvidersRegistered Nurse
No374J00000XNursing Service Related ProvidersDoula