Provider Demographics
NPI:1255630778
Name:ERWIN, ASHLEY RENEE (LPN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RENEE
Last Name:ERWIN
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 1:7883 LAUREL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-2582
Mailing Address - Country:US
Mailing Address - Phone:727-686-7375
Mailing Address - Fax:
Practice Address - Street 1:7883 LAUREL RIDGE DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-2582
Practice Address - Country:US
Practice Address - Phone:727-686-7375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH139853164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse