Provider Demographics
NPI:1659303402
Name:ASHBOCK, PATRICIA L (LPN)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:L
Last Name:ASHBOCK
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:L
Other - Last Name:FECHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 VAN SAUN DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-1534
Mailing Address - Country:US
Mailing Address - Phone:609-883-1734
Mailing Address - Fax:
Practice Address - Street 1:800 BUNN DR.
Practice Address - Street 2:STE 101
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1968
Practice Address - Country:US
Practice Address - Phone:609-921-2800
Practice Address - Fax:609-921-3499
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP04564000164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse