Provider Demographics
NPI:1144749615
Name:MEYER, ASHLEY MARITA-LYNN (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:MARITA-LYNN
Last Name:MEYER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:MARITA-LYNN
Other - Last Name:HOLDHEIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5735 MEEKER RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-1186
Mailing Address - Country:US
Mailing Address - Phone:937-548-3806
Mailing Address - Fax:937-548-2087
Practice Address - Street 1:5735 MEEKER RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-1186
Practice Address - Country:US
Practice Address - Phone:937-548-3806
Practice Address - Fax:937-548-2087
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.021708363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH548350OtherMEDICARE PTAN
OH1184652539OtherGROUP NPI
OH0245411Medicaid
OH0105065OtherMEDICAID GROUP
OH9934723OtherMEDICARE GROUP PTAN
OH34-1689161OtherGROUP TAX ID