Provider Demographics
NPI:1720344088
Name:ASHLEY, AQUAPAY E (RN)
Entity Type:Individual
Prefix:MS
First Name:AQUAPAY
Middle Name:E
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:AQUAPAY
Other - Middle Name:ELIZABETH
Other - Last Name:ASHLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:1434 LONGFELLOW AVENUE
Mailing Address - Street 2:RM. 211
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459
Mailing Address - Country:US
Mailing Address - Phone:718-589-3060
Mailing Address - Fax:
Practice Address - Street 1:1434 LONGFELLOW AVE
Practice Address - Street 2:RM. 2111
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-1604
Practice Address - Country:US
Practice Address - Phone:171-858-9306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY547642163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool