Provider Demographics
NPI:1669804555
Name:TOWLES, AISHA
Entity type:Individual
Prefix:
First Name:AISHA
Middle Name:
Last Name:TOWLES
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 1:4839 GROVE POINTE DR
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-9244
Mailing Address - Country:US
Mailing Address - Phone:614-206-7662
Mailing Address - Fax:
Practice Address - Street 1:4839 GROVE POINTE DR
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-9244
Practice Address - Country:US
Practice Address - Phone:614-206-7662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.355394163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse