Basic Information
| Provider Information | |||||||||
| NPI: | 1295443034 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MURRIETA ORTEGA | ||||||||
| FirstName: | ASHLEY | ||||||||
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| Credential: | BSN, RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 316 NW RICHMOND BEACH RD | ||||||||
| Address2: | APT #7 | ||||||||
| City: | SHORELINE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98177 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2066439216 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9710 STATE AVE | ||||||||
| Address2: | |||||||||
| City: | MARYSVILLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98270 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4256164100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2022 | ||||||||
| LastUpdateDate: | 11/10/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN61323242 | WA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.