Provider Demographics
NPI:1629265996
Name:OWLES, ASHLEY ANN
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:ANN
Last Name:OWLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4621 S HILLS DR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6000
Mailing Address - Country:US
Mailing Address - Phone:510-219-8883
Mailing Address - Fax:
Practice Address - Street 1:5900 COYLE AVE STE A
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0400
Practice Address - Country:US
Practice Address - Phone:916-414-9055
Practice Address - Fax:916-414-9054
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95037487363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily