Provider Demographics
NPI:1871238006
Name:MCINTOSH, ASHLEY PATRICIA (BD, CBE)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:PATRICIA
Last Name:MCINTOSH
Suffix:
Gender:F
Credentials:BD, CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 VIA MARINA
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-3631
Mailing Address - Country:US
Mailing Address - Phone:949-413-6972
Mailing Address - Fax:
Practice Address - Street 1:2411 VIA MARINA
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-3631
Practice Address - Country:US
Practice Address - Phone:949-413-6972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADONA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula