Provider Demographics
NPI:1225343841
Name:CLINE, ASHLEY LYNN (RN)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LYNN
Last Name:CLINE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:LYNN
Other - Last Name:HICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3400 BLUEGRASS DR
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86406-6250
Mailing Address - Country:US
Mailing Address - Phone:928-230-9410
Mailing Address - Fax:
Practice Address - Street 1:3400 BLUEGRASS DR
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86406-6250
Practice Address - Country:US
Practice Address - Phone:928-230-9410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN161224163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse