Provider Demographics
NPI:1750439527
Name:DIXON, ASHLEY KRISTIN (RN)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:KRISTIN
Last Name:DIXON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 453 BOX 909
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09074
Mailing Address - Country:US
Mailing Address - Phone:603-179-1513
Mailing Address - Fax:
Practice Address - Street 1:CMR 453 BOX 909
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09074
Practice Address - Country:US
Practice Address - Phone:603-179-1513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1103802163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse