Provider Demographics
NPI:1205549516
Name:STEWART- PURLEY, ASHLEY LADEAN (LPN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LADEAN
Last Name:STEWART- PURLEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2018 GARDEN LN
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607-1024
Mailing Address - Country:US
Mailing Address - Phone:419-377-1731
Mailing Address - Fax:
Practice Address - Street 1:2018 GARDEN LN
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-1024
Practice Address - Country:US
Practice Address - Phone:419-377-1731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.183981.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse