Provider Demographics
NPI:1760880926
Name:GARDNER-ATTINGER, ASHLEY MARCIA (LPN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARCIA
Last Name:GARDNER-ATTINGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9231B HAMER RD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45121-1527
Mailing Address - Country:US
Mailing Address - Phone:937-378-6118
Mailing Address - Fax:937-378-4286
Practice Address - Street 1:9321-B HAMER RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:OH
Practice Address - Zip Code:45121
Practice Address - Country:US
Practice Address - Phone:513-258-7392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant