Provider Demographics
NPI:1750434239
Name:ASH, SARAH J (MA CNS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:ASH
Suffix:
Gender:F
Credentials:MA CNS
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Mailing Address - Street 1:983 SPAULDING OFFICE ANNEX
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MI
Mailing Address - Zip Code:49301
Mailing Address - Country:US
Mailing Address - Phone:616-942-0003
Mailing Address - Fax:616-942-1401
Practice Address - Street 1:983 SPAULDING OFFICE ANNEX
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:MI
Practice Address - Zip Code:49301
Practice Address - Country:US
Practice Address - Phone:616-942-0003
Practice Address - Fax:616-942-1401
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI136892-02163WP0807X
MI4704151751163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
Not Answered163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health