Provider Demographics
NPI:1982829578
Name:ASHMAN, TRACY (RN)
Entity Type:Individual
Prefix:MS
First Name:TRACY
Middle Name:
Last Name:ASHMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 OREGANO CT
Mailing Address - Street 2:CALVARESE FARMS
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-6019
Mailing Address - Country:US
Mailing Address - Phone:302-836-1357
Mailing Address - Fax:
Practice Address - Street 1:2250 HICKORY RD
Practice Address - Street 2:SUITE 240
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1047
Practice Address - Country:US
Practice Address - Phone:610-834-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0032180251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care