Provider Demographics
NPI:1245063718
Name:PYLES, ASHLEY MACHELLE
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MACHELLE
Last Name:PYLES
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:PO BOX 26
Mailing Address - Street 2:
Mailing Address - City:MAMMOTH
Mailing Address - State:WV
Mailing Address - Zip Code:25132-0026
Mailing Address - Country:US
Mailing Address - Phone:304-539-7911
Mailing Address - Fax:
Practice Address - Street 1:69 SPRINGVALLEY LN
Practice Address - Street 2:
Practice Address - City:MAMMOTH
Practice Address - State:WV
Practice Address - Zip Code:25132
Practice Address - Country:US
Practice Address - Phone:304-539-7911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant