Provider Demographics
NPI:1720695075
Name:RILEY, ASHLEY ANN (NMD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ANN
Last Name:RILEY
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42400 W PASEO DR
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-1816
Mailing Address - Country:US
Mailing Address - Phone:203-217-4148
Mailing Address - Fax:
Practice Address - Street 1:855 S DOBSON RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5672
Practice Address - Country:US
Practice Address - Phone:480-783-0708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20-1899175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath