Provider Demographics
NPI:1407491517
Name:BOUNDS, ASHTON BRIANN
Entity Type:Individual
Prefix:
First Name:ASHTON
Middle Name:BRIANN
Last Name:BOUNDS
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 1:165 FERNANDEZ CT UNIT 101
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-6137
Mailing Address - Country:US
Mailing Address - Phone:601-795-3749
Mailing Address - Fax:
Practice Address - Street 1:165 FERNANDEZ CT UNIT 101
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-6137
Practice Address - Country:US
Practice Address - Phone:601-795-3749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI95672163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse