Provider Demographics
NPI:1669167029
Name:SAYERS, ASHLEY RENEE (IBCLC, DOULA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RENEE
Last Name:SAYERS
Suffix:
Gender:F
Credentials:IBCLC, DOULA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:RENEE
Other - Last Name:KIDWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3800 W DEVONSHIRE AVE APT H193
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92545-2374
Mailing Address - Country:US
Mailing Address - Phone:360-551-5136
Mailing Address - Fax:
Practice Address - Street 1:3800 W DEVONSHIRE AVE APT H193
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92545-2374
Practice Address - Country:US
Practice Address - Phone:360-551-5136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-10
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
L-310226174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula