Provider Demographics
NPI:1851841209
Name:COLE, ASHLEY (MA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:COLE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PINEVIEW RD
Mailing Address - Street 2:G5
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33469-3176
Mailing Address - Country:US
Mailing Address - Phone:772-353-6753
Mailing Address - Fax:
Practice Address - Street 1:150 PINEVIEW RD
Practice Address - Street 2:G5
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33469-3176
Practice Address - Country:US
Practice Address - Phone:772-353-6753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other