Provider Demographics
NPI:1912711557
Name:COOK, ASHLEY ERIN (NP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ERIN
Last Name:COOK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ERIN
Other - Last Name:IRVINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2590 VENTURE OAKS WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-3288
Mailing Address - Country:US
Mailing Address - Phone:530-771-0177
Mailing Address - Fax:
Practice Address - Street 1:2590 VENTURE OAKS WAY STE 103
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-3288
Practice Address - Country:US
Practice Address - Phone:530-771-0177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033015363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner