Provider Demographics
NPI:1588067243
Name:HOLLY T. ASHLEY, MD, PLLC
Entity type:Organization
Organization Name:HOLLY T. ASHLEY, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:TRIMBLE
Authorized Official - Last Name:ASHLEY COTHERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-337-8400
Mailing Address - Street 1:236 W 6TH ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4517
Mailing Address - Country:US
Mailing Address - Phone:775-337-8400
Mailing Address - Fax:775-337-8407
Practice Address - Street 1:236 W 6TH ST
Practice Address - Street 2:SUITE 303
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4517
Practice Address - Country:US
Practice Address - Phone:775-337-8400
Practice Address - Fax:775-337-8407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11793207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty