Provider Demographics
NPI:1013506872
Name:SCONYERS, ASHLYN E (CNM, APRN)
Entity type:Individual
Prefix:
First Name:ASHLYN
Middle Name:E
Last Name:SCONYERS
Suffix:
Gender:F
Credentials:CNM, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4902 CHILSON RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-9453
Mailing Address - Country:US
Mailing Address - Phone:313-467-4917
Mailing Address - Fax:734-715-1355
Practice Address - Street 1:4902 CHILSON RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-9453
Practice Address - Country:US
Practice Address - Phone:313-467-4917
Practice Address - Fax:734-715-1355
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1021393367A00000X
MI4704401218367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX56425OtherCHRISTIAN HEALTH MINISTRY