Provider Demographics
NPI:1023236775
Name:ASHMILLION, ANEDRA
Entity type:Individual
Prefix:
First Name:ANEDRA
Middle Name:
Last Name:ASHMILLION
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 1:444 KENEC DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45042-3947
Mailing Address - Country:US
Mailing Address - Phone:513-571-2344
Mailing Address - Fax:
Practice Address - Street 1:444 KENEC DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45042-3947
Practice Address - Country:US
Practice Address - Phone:513-571-2344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2166043OtherPROVIDER NUMBER