Healthcare Provider Details

I. General information

NPI: 1851929012
Provider Name (Legal Business Name): ASHLEY STADING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY NOLTING

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N PEPPER AVE STE 309
COLTON CA
92324-1801
US

IV. Provider business mailing address

1 MEDICAL CENTER DR
MORGANTOWN WV
26506-1200
US

V. Phone/Fax

Practice location:
  • Phone: 909-580-3362
  • Fax:
Mailing address:
  • Phone: 503-929-3382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number1931
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: