Provider Demographics
NPI:1265240055
Name:DAWLEY, AVA MARIE
Entity type:Individual
Prefix:MS
First Name:AVA
Middle Name:MARIE
Last Name:DAWLEY
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 1:92 W 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-3219
Mailing Address - Country:US
Mailing Address - Phone:339-222-4027
Mailing Address - Fax:
Practice Address - Street 1:4488 FOX PATH CT
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-6014
Practice Address - Country:US
Practice Address - Phone:339-222-4027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-25
Last Update Date:2024-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide