Provider Demographics
NPI:1750105276
Name:HARRIS, ASHLEY N (STNA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:N
Last Name:HARRIS
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 MUSSELMAN DR
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-6976
Mailing Address - Country:US
Mailing Address - Phone:740-704-8750
Mailing Address - Fax:
Practice Address - Street 1:1460 MUSSELMAN DR
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-6976
Practice Address - Country:US
Practice Address - Phone:740-704-8750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH501024500905376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty