Provider Demographics
NPI:1730478116
Name:AHOLA, ASHLEY LOREN (RN)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:LOREN
Last Name:AHOLA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2419 OCONNOR DR
Mailing Address - Street 2:
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-1424
Mailing Address - Country:US
Mailing Address - Phone:510-724-8566
Mailing Address - Fax:
Practice Address - Street 1:2419 OCONNOR DR
Practice Address - Street 2:
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-1424
Practice Address - Country:US
Practice Address - Phone:510-724-8566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA756249163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn