Provider Demographics
NPI:1205604279
Name:ROUNDY, ASHLEE (CFNC, FNLP)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:ROUNDY
Suffix:
Gender:F
Credentials:CFNC, FNLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 TIGER LILY WAY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-7860
Mailing Address - Country:US
Mailing Address - Phone:702-381-3418
Mailing Address - Fax:
Practice Address - Street 1:403 TIGER LILY WAY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-7860
Practice Address - Country:US
Practice Address - Phone:702-381-3418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No133N00000XDietary & Nutritional Service ProvidersNutritionist