Provider Demographics
NPI:1164012175
Name:GOLDEN, ASHLEY. YVETTE (MED, BS)
Entity Type:Individual
Prefix:
First Name:ASHLEY.
Middle Name:YVETTE
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:MED, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4112 WESTMORLAND CIR
Mailing Address - Street 2:APT 221
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-7882
Mailing Address - Country:US
Mailing Address - Phone:757-602-6436
Mailing Address - Fax:
Practice Address - Street 1:4112 WESTMORLAND CIR
Practice Address - Street 2:APT 221
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-7882
Practice Address - Country:US
Practice Address - Phone:757-602-6436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-23
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator