Provider Demographics
NPI:1689032674
Name:VOYLES, ASHLEY (RD, LD, CNSC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:VOYLES
Suffix:
Gender:F
Credentials:RD, LD, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 CRYSTAL DR
Mailing Address - Street 2:APT 303
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-4412
Mailing Address - Country:US
Mailing Address - Phone:419-309-7093
Mailing Address - Fax:
Practice Address - Street 1:1801 CRYSTAL DRIVE APT 303
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202
Practice Address - Country:US
Practice Address - Phone:419-309-7093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-04
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1058519133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered