Provider Demographics
NPI:1174145205
Name:IRIZARRY, ASHLEY MARIA (ND)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARIA
Last Name:IRIZARRY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 WELLS AVE S
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-2152
Mailing Address - Country:US
Mailing Address - Phone:425-572-6725
Mailing Address - Fax:
Practice Address - Street 1:123 WELLS AVE S
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-2152
Practice Address - Country:US
Practice Address - Phone:425-572-6725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61058279175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath