Provider Demographics
NPI:1619721719
Name:PATEL, ASHLESHA S (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ASHLESHA
Middle Name:S
Last Name:PATEL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:ASHLESHABEN
Other - Middle Name:S
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:223 OLD POST DR
Mailing Address - Street 2:
Mailing Address - City:ALVATON
Mailing Address - State:KY
Mailing Address - Zip Code:42122-7834
Mailing Address - Country:US
Mailing Address - Phone:270-308-1801
Mailing Address - Fax:
Practice Address - Street 1:223 OLD POST DR
Practice Address - Street 2:
Practice Address - City:ALVATON
Practice Address - State:KY
Practice Address - Zip Code:42122-7834
Practice Address - Country:US
Practice Address - Phone:270-308-1801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNF04240353207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine