Provider Demographics
NPI:1740937648
Name:SHUGARTS, ASHLEY CHYLYNN (LPN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:CHYLYNN
Last Name:SHUGARTS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16830-6126
Mailing Address - Country:US
Mailing Address - Phone:814-768-7575
Mailing Address - Fax:814-768-9754
Practice Address - Street 1:214 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-6126
Practice Address - Country:US
Practice Address - Phone:814-768-7575
Practice Address - Fax:814-768-9754
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN309091164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse