Healthcare Provider Details

I. General information

NPI: 1245143478
Provider Name (Legal Business Name): ASHLEY CLINE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 BEDFORD RD SE
BROOKFIELD OH
44403-9756
US

IV. Provider business mailing address

614 BEDFORD RD SE
BROOKFIELD OH
44403-9756
US

V. Phone/Fax

Practice location:
  • Phone: 234-287-8978
  • Fax: 330-448-3004
Mailing address:
  • Phone: 234-287-8978
  • Fax: 330-448-3004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.464046
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: