Provider Demographics
NPI:1932232998
Name:EASTERLING, ASHLEY E (CNP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:E
Last Name:EASTERLING
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7502 STATE RD
Mailing Address - Street 2:STE 1180
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-2596
Mailing Address - Country:US
Mailing Address - Phone:513-624-2955
Mailing Address - Fax:513-624-2956
Practice Address - Street 1:7502 STATE RD
Practice Address - Street 2:STE 1180
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-2596
Practice Address - Country:US
Practice Address - Phone:513-624-2955
Practice Address - Fax:513-624-2956
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.09330-NP364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2750554Medicaid
OHHO4060986Medicare PIN
OHH172170Medicare PIN
OH2750554Medicaid