Provider Demographics
NPI:1164835021
Name:ASHFORD, BRIANNA NACHE (LPN)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:NACHE
Last Name:ASHFORD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:NACHE
Other - Last Name:ASHFORD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:5430 GRASMERE AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-3564
Mailing Address - Country:US
Mailing Address - Phone:216-307-0680
Mailing Address - Fax:
Practice Address - Street 1:3550 E 154TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-4914
Practice Address - Country:US
Practice Address - Phone:216-209-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.165610.MEDS-IV164W00000X
OH401162801110376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No164W00000XNursing Service ProvidersLicensed Practical Nurse