Provider Demographics
NPI:1669981338
Name:AUBRY, ASHLEY NICOLE (RDH, MA)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:NICOLE
Last Name:AUBRY
Suffix:
Gender:F
Credentials:RDH, MA
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:NICOLE
Other - Last Name:BRUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2500 CALIFORNIA PLAZA
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68178
Mailing Address - Country:US
Mailing Address - Phone:217-781-2308
Mailing Address - Fax:
Practice Address - Street 1:2500 CALIFORNIA PLAZA
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68178
Practice Address - Country:US
Practice Address - Phone:402-280-5018
Practice Address - Fax:402-280-5013
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2722124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist