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NPI Code Detail

MEDICARE: ASHLEY VERDA

MEDICARE: ASHLEY VERDA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1407688062
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY VERDA
Provider Business Mailing Address
First Line : PO BOX 1086
Second Line :
City : WILLOUGHBY
State : OH
Zip : 44096-1086
Country : US
Telephone Number : 216-645-7242
Fax Number :
Provider Business Practice Location Address
First Line : 41315 N RIDGE RD
Second Line :
City : ELYRIA
State : OH
Zip : 44035-1242
Country : US
Telephone Number : 800-860-7373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2024
Last Update Date : 05/07/2025

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Directions to “ ASHLEY VERDA ” Practice Location

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