Basic Information
Provider Information
NPI: 1497138267
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: READ
FirstName: ASHLEY
MiddleName: PYNE
NamePrefix:  
NameSuffix:  
Credential: NP-C
OtherOrganizationName:  
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OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherLastNameType:  
Mailing Information
Address1: 2695 ROCKY MOUNTAIN AVE STE 150
Address2:  
City: LOVELAND
State: CO
PostalCode: 805389071
CountryCode: US
TelephoneNumber: 9706244034
FaxNumber: 9704904347
Practice Location
Address1: 175 S UNION BLVD STE 315
Address2:  
City: COLORADO SPRINGS
State: CO
PostalCode: 809103126
CountryCode: US
TelephoneNumber: 7193653700
FaxNumber: 7193653701
Other Information
ProviderEnumerationDate: 06/29/2015
LastUpdateDate: 12/24/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/24/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LG0600XAPN. 0991764 - NPCOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology

No ID Information.


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