Provider Demographics
NPI:1619323771
Name:ENDRES, ASHLEY NICOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:NICOLE
Last Name:ENDRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:NICOLE
Other - Last Name:FLOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8240 NORTHCREEK DR STE 3000
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-0709
Mailing Address - Country:US
Mailing Address - Phone:513-246-5236
Mailing Address - Fax:513-246-5293
Practice Address - Street 1:8240 NORTHCREEK DR STE 3000
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-0709
Practice Address - Country:US
Practice Address - Phone:513-246-5236
Practice Address - Fax:513-246-5293
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.135999208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics