Provider Demographics
NPI:1568835734
Name:CARREON, ASHLEY (MS, RDN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:CARREON
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 36TH AVE NW STE 200
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-2477
Mailing Address - Country:US
Mailing Address - Phone:405-515-2049
Mailing Address - Fax:
Practice Address - Street 1:2821 36TH AVE NW STE 200
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-2477
Practice Address - Country:US
Practice Address - Phone:055-152-0494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-09
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2125133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered