Provider Demographics
NPI:1639924541
Name:BYRON, ASHLEY RYAN
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RYAN
Last Name:BYRON
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 1:14 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-2026
Mailing Address - Country:US
Mailing Address - Phone:916-541-0924
Mailing Address - Fax:
Practice Address - Street 1:6881 SHARP RD
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-9478
Practice Address - Country:US
Practice Address - Phone:916-541-0924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care