Provider Demographics
NPI:1881281566
Name:MILLS, ASHLEY S (BACHLOR OF SCIENCE)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:S
Last Name:MILLS
Suffix:
Gender:F
Credentials:BACHLOR OF SCIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1607 W DUPONT AVE APT 16
Mailing Address - Street 2:
Mailing Address - City:BELLE
Mailing Address - State:WV
Mailing Address - Zip Code:25015-1236
Mailing Address - Country:US
Mailing Address - Phone:304-941-9471
Mailing Address - Fax:
Practice Address - Street 1:1599 2ND AVE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25387-2514
Practice Address - Country:US
Practice Address - Phone:304-344-0586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist