Provider Demographics
NPI:1881351609
Name:LOVE, ASHLEY N
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:N
Last Name:LOVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1375 FLICKER DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-3320
Mailing Address - Country:US
Mailing Address - Phone:314-817-4451
Mailing Address - Fax:
Practice Address - Street 1:1375 FLICKER DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-3320
Practice Address - Country:US
Practice Address - Phone:501-625-0203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide