Provider Demographics
NPI:1528621752
Name:WILLIAMS, ASHLEE (APRN)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15138 S INVERLEITH CV
Mailing Address - Street 2:
Mailing Address - City:BLUFFDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84065-5805
Mailing Address - Country:US
Mailing Address - Phone:435-590-4107
Mailing Address - Fax:
Practice Address - Street 1:279 E 5900 S STE 100
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-5422
Practice Address - Country:US
Practice Address - Phone:385-436-4859
Practice Address - Fax:801-609-3114
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-14
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6317730-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily