Provider Demographics
NPI:1952187759
Name:FIEL, ASHLEY GABRIELA
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:GABRIELA
Last Name:FIEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:547 GRANDVIEW CT
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-4209
Mailing Address - Country:US
Mailing Address - Phone:916-432-9627
Mailing Address - Fax:
Practice Address - Street 1:2261 S WATNEY WAY
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-6757
Practice Address - Country:US
Practice Address - Phone:707-920-2831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer