Provider Demographics
NPI:1366094146
Name:EATON, ASHLEY MICHELLE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:MICHELLE
Last Name:EATON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2910 N ACADEMY BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-5351
Mailing Address - Country:US
Mailing Address - Phone:719-888-9943
Mailing Address - Fax:719-405-0504
Practice Address - Street 1:2910 N ACADEMY BLVD STE 104
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-5351
Practice Address - Country:US
Practice Address - Phone:719-888-9943
Practice Address - Fax:719-405-0504
Is Sole Proprietor?:No
Enumeration Date:2019-07-12
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994766-NP207RS0012X, 207VG0400X, 207RE0101X, 363LF0000X, 207RC0000X
CORN.0203588163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No163W00000XNursing Service ProvidersRegistered Nurse
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease