Provider Demographics
NPI:1053040220
Name:ZAYAS, ASHLEY G
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:G
Last Name:ZAYAS
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 1:3920 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44052-5702
Mailing Address - Country:US
Mailing Address - Phone:440-204-8053
Mailing Address - Fax:
Practice Address - Street 1:3920 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-5702
Practice Address - Country:US
Practice Address - Phone:440-204-8053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-05
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker