Provider Demographics
NPI:1265787956
Name:DAYE, ASHLEY PULLON (RN)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:PULLON
Last Name:DAYE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 CANBERRA ROAD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503
Mailing Address - Country:US
Mailing Address - Phone:337-344-4178
Mailing Address - Fax:
Practice Address - Street 1:312 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SUPAI
Practice Address - State:AZ
Practice Address - Zip Code:86435-0129
Practice Address - Country:US
Practice Address - Phone:928-769-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA088224163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health