Provider Demographics
NPI:1235562208
Name:SHUMWAY, ASHLEE DANIELLE (BHRS)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:DANIELLE
Last Name:SHUMWAY
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:DANIELLE
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 E WYANDOTTE AVE
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-5464
Mailing Address - Country:US
Mailing Address - Phone:918-420-5238
Mailing Address - Fax:918-420-5717
Practice Address - Street 1:400 E WYANDOTTE AVE
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-5464
Practice Address - Country:US
Practice Address - Phone:918-420-5238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program