Provider Demographics
NPI:1134275001
Name:ASHBY, LINDA E (CNA)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:E
Last Name:ASHBY
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:284 E RIVER RD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:ME
Mailing Address - Zip Code:04666-4408
Mailing Address - Country:US
Mailing Address - Phone:207-726-9528
Mailing Address - Fax:207-726-9528
Practice Address - Street 1:284 E RIVER RD
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:ME
Practice Address - Zip Code:04666-4408
Practice Address - Country:US
Practice Address - Phone:207-726-9528
Practice Address - Fax:207-726-9528
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEALLS1433320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities