Provider Demographics
NPI:1275301285
Name:ASHMORE, KATRINA L
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:L
Last Name:ASHMORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 WINTER PINE DR
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-3801
Mailing Address - Country:US
Mailing Address - Phone:479-733-8172
Mailing Address - Fax:
Practice Address - Street 1:35 WINTER PINE DR
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-3801
Practice Address - Country:US
Practice Address - Phone:479-733-8172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker