Provider Demographics
NPI:1568690949
Name:MAYER, ASHLEY (DPM)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:MAYER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3034 VALLEY AVE
Mailing Address - Street 2:106
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2670
Mailing Address - Country:US
Mailing Address - Phone:540-542-1800
Mailing Address - Fax:540-542-1801
Practice Address - Street 1:3034 VALLEY AVE
Practice Address - Street 2:106
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2670
Practice Address - Country:US
Practice Address - Phone:540-542-1800
Practice Address - Fax:540-542-1801
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-24
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103301092213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery