Provider Demographics
NPI:1669278313
Name:BURTON, ASHLYN THERIOT
Entity type:Individual
Prefix:
First Name:ASHLYN
Middle Name:THERIOT
Last Name:BURTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 KENILWORTH ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2803
Mailing Address - Country:US
Mailing Address - Phone:337-485-9297
Mailing Address - Fax:
Practice Address - Street 1:339 KENILWORTH ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-2803
Practice Address - Country:US
Practice Address - Phone:337-485-9297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program