Basic Information
Provider Information
NPI: 1215431499
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILTON
FirstName: ASHLEY
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1707 W CHARLESTON BLVD STE 120
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891022352
CountryCode: US
TelephoneNumber: 7026712385
FaxNumber: 7026712333
Practice Location
Address1: 1707 W CHARLESTON BLVD STE 120
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891022352
CountryCode: US
TelephoneNumber: 7026712385
FaxNumber: 7026712333
Other Information
ProviderEnumerationDate: 03/21/2018
LastUpdateDate: 06/07/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/07/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VF0040XDR.0067894COY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery

No ID Information.


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