Healthcare Provider Details

I. General information

NPI: 1760927438
Provider Name (Legal Business Name): ASHLEY YONO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2017
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24255 W 13 MILE RD STE 100
BINGHAM FARMS MI
48025-4345
US

IV. Provider business mailing address

26211 CENTRAL PARK BLVD STE 201
SOUTHFIELD MI
48076-4158
US

V. Phone/Fax

Practice location:
  • Phone: 248-988-8085
  • Fax: 248-988-8565
Mailing address:
  • Phone: 248-845-4381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4704295832
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: