Provider Demographics
NPI:1093586299
Name:ELAM, ASHLEY ERIN (RN, DOULA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ERIN
Last Name:ELAM
Suffix:
Gender:F
Credentials:RN, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 BURTON PIKE
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-9512
Mailing Address - Country:US
Mailing Address - Phone:859-338-1913
Mailing Address - Fax:
Practice Address - Street 1:369 BURTON PIKE
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-9512
Practice Address - Country:US
Practice Address - Phone:859-338-1913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1138294163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory