Provider Demographics
NPI:1811538549
Name:ASH, EARTHA YVONNE
Entity Type:Individual
Prefix:MRS
First Name:EARTHA
Middle Name:YVONNE
Last Name:ASH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 ALABAMA LANE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-1802
Mailing Address - Country:US
Mailing Address - Phone:757-564-0846
Mailing Address - Fax:757-564-0846
Practice Address - Street 1:114 ALABAMA LANE
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-1802
Practice Address - Country:US
Practice Address - Phone:757-564-0846
Practice Address - Fax:757-564-0846
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide