Provider Demographics
NPI:1053163469
Name:CALISE, ASHLEY CAROL (DO)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:CAROL
Last Name:CALISE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5946 WINDSOR OAK CIR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-5389
Mailing Address - Country:US
Mailing Address - Phone:901-687-0804
Mailing Address - Fax:
Practice Address - Street 1:5946 WINDSOR OAK CIR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-5389
Practice Address - Country:US
Practice Address - Phone:901-687-0804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program