Provider Demographics
NPI:1295295111
Name:CRABTREE, ASHLEY BREANNE (APRN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:BREANNE
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2416 S 10TH ST
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-2671
Mailing Address - Country:US
Mailing Address - Phone:740-547-8123
Mailing Address - Fax:
Practice Address - Street 1:2416 S 10TH ST
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-2671
Practice Address - Country:US
Practice Address - Phone:740-547-8123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3013094363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily