Provider Demographics
NPI:1528778834
Name:ALI, ASHLEY (SA)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:
Last Name:ALI
Suffix:
Gender:F
Credentials:SA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4717 S VERSAILLES ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6476
Mailing Address - Country:US
Mailing Address - Phone:720-655-3397
Mailing Address - Fax:
Practice Address - Street 1:4717 S VERSAILLES ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-6476
Practice Address - Country:US
Practice Address - Phone:720-655-3397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSA.0002966246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
COSA.0002966OtherREGISTERED SURGICAL ASSISTANT