Provider Demographics
NPI:1093904229
Name:ASHCRAFT, ELAINE A
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:A
Last Name:ASHCRAFT
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 1:2931 E SECOND ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45403
Mailing Address - Country:US
Mailing Address - Phone:937-267-4067
Mailing Address - Fax:
Practice Address - Street 1:2931 E SECOND ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45403
Practice Address - Country:US
Practice Address - Phone:937-267-4067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide