Provider Demographics
NPI:1982940029
Name:SHEILA M ASH APN, CNS, LLC
Entity Type:Organization
Organization Name:SHEILA M ASH APN, CNS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCED PRACTICE NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ASH
Authorized Official - Suffix:
Authorized Official - Credentials:APN, CNS, LLC
Authorized Official - Phone:970-495-4691
Mailing Address - Street 1:128 N 6TH ST UNIT D
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-5161
Mailing Address - Country:US
Mailing Address - Phone:970-495-4691
Mailing Address - Fax:970-674-3309
Practice Address - Street 1:128 N 6TH ST UNIT D
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-5161
Practice Address - Country:US
Practice Address - Phone:970-495-4691
Practice Address - Fax:970-674-3309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO126077163WP0809X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOA107059Medicare PIN