SearchIdaho175F00000X

Ashley Southern, NMD

NPI 1285256065 · on the registry since 2020 · sole proprietor

Practice

Address
1532 W Cayuse Creek Dr
Meridian, ID 83646
Phone
(208) 690-2040

Additional practice sites

  • 9700 N 91st St Ste A115, Scottsdale, AZ

Registry record

Primary taxonomy
175F00000X
175F00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho