Provider Demographics
NPI:1487287611
Name:LOMELI, ASHLEY (FNP-C)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:
Last Name:LOMELI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 JOE BATTLE BLVD # A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-0970
Mailing Address - Country:US
Mailing Address - Phone:915-849-9010
Mailing Address - Fax:
Practice Address - Street 1:1651 JOE BATTLE BLVD # A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-0970
Practice Address - Country:US
Practice Address - Phone:915-849-9010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144980363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty