Provider Demographics
NPI:1740717610
Name:ASTON, CASAUNDRA
Entity type:Individual
Prefix:
First Name:CASAUNDRA
Middle Name:
Last Name:ASTON
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 1:864 SUNBURY OVAL
Mailing Address - Street 2:
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-4368
Mailing Address - Country:US
Mailing Address - Phone:440-319-1312
Mailing Address - Fax:
Practice Address - Street 1:864 SUNBURY OVAL
Practice Address - Street 2:
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-4368
Practice Address - Country:US
Practice Address - Phone:440-319-1312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401239830511376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide