MEDICARE: ALATRECIA FRANCESCA ASHLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295206266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALATRECIA FRANCESCA ASHLEY

Provider Business Mailing Address
First Line	:	2326 LESLIE ST
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71103-3514
Country	:	US
Telephone Number	:	318-510-3440
Fax Number	:	318-828-1510

Provider Business Practice Location Address
First Line	:	2326 LESLIE ST
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71103-3514
Country	:	US
Telephone Number	:	318-510-3440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2018
Last Update Date	:	12/16/2018

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Directions to “ ALATRECIA FRANCESCA ASHLEY ” Practice Location

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