Healthcare Provider Details

I. General information

NPI: 1932693231
Provider Name (Legal Business Name): ASHLEY S RAWSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY S HONKANEN NP

II. Dates (important events)

Enumeration Date: 06/20/2018
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14650 E OLD US HWY 12 SUITE 303
CHELSEA MI
48118
US

IV. Provider business mailing address

24 FRANK LLOYD WRIGHT DRIVE SUITE J2000
ANN ARBOR MI
48105
US

V. Phone/Fax

Practice location:
  • Phone: 734-475-4177
  • Fax: 734-475-3520
Mailing address:
  • Phone: 734-747-6766
  • Fax: 734-222-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4704263945
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704263945
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: