Provider Demographics
NPI:1538710595
Name:OVIAWE, ASHLEY NICHOLE (FNP-C)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NICHOLE
Last Name:OVIAWE
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 1:20046 N JOHN WAYNE PARKWAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138
Mailing Address - Country:US
Mailing Address - Phone:520-497-4575
Mailing Address - Fax:520-479-4576
Practice Address - Street 1:20046 N JOHN WAYNE PARKWAY
Practice Address - Street 2:SUITE 102
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138
Practice Address - Country:US
Practice Address - Phone:520-497-4575
Practice Address - Fax:520-479-4576
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-21
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ233753363LF0000X, 363L00000X, 363LF0000X
AZRN171732363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner