Provider Demographics
NPI:1831838135
Name:ECKLEY, ASHLEY ELISA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ELISA
Last Name:ECKLEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1841 E RIVERSIDE DR STE 201
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7061
Mailing Address - Country:US
Mailing Address - Phone:435-256-8890
Mailing Address - Fax:833-907-2388
Practice Address - Street 1:1841 E RIVERSIDE DR STE 201
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7061
Practice Address - Country:US
Practice Address - Phone:435-256-8890
Practice Address - Fax:833-907-2388
Is Sole Proprietor?:No
Enumeration Date:2022-06-03
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11793101-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily