Provider Demographics
NPI:1851142889
Name:ASHLEY, SANDRA J
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:J
Last Name:ASHLEY
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 1:4110 NINEVAH RD
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-9769
Mailing Address - Country:US
Mailing Address - Phone:144-036-1080
Mailing Address - Fax:
Practice Address - Street 1:4110 NINEVAH RD
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-9769
Practice Address - Country:US
Practice Address - Phone:144-036-1080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health