Healthcare Provider Details

I. General information

NPI: 1760866768
Provider Name (Legal Business Name): ASHLEY LAUGHLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2015
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 S UNION AVE
ALLIANCE OH
44601-4349
US

IV. Provider business mailing address

1610 S UNION AVE
ALLIANCE OH
44601-4349
US

V. Phone/Fax

Practice location:
  • Phone: 330-356-8256
  • Fax: 330-596-1434
Mailing address:
  • Phone: 330-356-8256
  • Fax: 330-596-1434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number369249
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number369249
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: