Provider Demographics
NPI:1326338708
Name:WASHINGTON, ASHLEY MILDRED (LPN)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:MILDRED
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 N TIMBER HOLLOW DR
Mailing Address - Street 2:#1325
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-7729
Mailing Address - Country:US
Mailing Address - Phone:513-213-1111
Mailing Address - Fax:
Practice Address - Street 1:13 N TIMBER HOLLOW DR
Practice Address - Street 2:#1325
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-7729
Practice Address - Country:US
Practice Address - Phone:513-213-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN144138164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse