Healthcare Provider Details

I. General information

NPI: 1205410545
Provider Name (Legal Business Name): LINDSAY ASHLEY RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 05/12/2021
Certification Date: 05/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 S CHILLICOTHE RD
AURORA OH
44202-6548
US

IV. Provider business mailing address

425 S CHILLICOTHE RD
AURORA OH
44202-6548
US

V. Phone/Fax

Practice location:
  • Phone: 330-995-0094
  • Fax:
Mailing address:
  • Phone: 330-995-0094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0600X
TaxonomyInfection Control Registered Nurse
License NumberRN.397906
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: