Provider Demographics
NPI:1780082768
Name:GARCIA, ASHLEY JO (NP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:JO
Last Name:GARCIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:JO
Other - Last Name:SONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:5450 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2709
Mailing Address - Country:US
Mailing Address - Phone:303-415-8900
Mailing Address - Fax:303-443-6476
Practice Address - Street 1:2995 BASELINE RD STE 210
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2318
Practice Address - Country:US
Practice Address - Phone:303-443-2544
Practice Address - Fax:303-443-6476
Is Sole Proprietor?:No
Enumeration Date:2014-12-08
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0168183163W00000X
COAPN.0991456-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse