Provider Demographics
NPI:1629425897
Name:ORTELLI, ASHLEY (CD(DONA), PES(PBI))
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:ORTELLI
Suffix:
Gender:F
Credentials:CD(DONA), PES(PBI)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5202
Mailing Address - Country:US
Mailing Address - Phone:717-383-9828
Mailing Address - Fax:203-961-1567
Practice Address - Street 1:1360 BEDFORD ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5202
Practice Address - Country:US
Practice Address - Phone:717-383-9828
Practice Address - Fax:203-961-1567
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula