Healthcare Provider Details

I. General information

NPI: 1649197898
Provider Name (Legal Business Name): BRITTNEY MARIE ASHLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MICHIGAN ST NE
GRAND RAPIDS MI
49503-2560
US

IV. Provider business mailing address

4359 S VIRGINIA DR
MUSKEGON MI
49444-4425
US

V. Phone/Fax

Practice location:
  • Phone: 616-352-9299
  • Fax:
Mailing address:
  • Phone: 616-502-4530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: