Healthcare Provider Details

I. General information

NPI: 1073492914
Provider Name (Legal Business Name): ASHLYN WARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E WHEELING AVE
CAMBRIDGE OH
43725-2510
US

IV. Provider business mailing address

24778 JIM WARNER RD
SUMMERFIELD OH
43788-2500
US

V. Phone/Fax

Practice location:
  • Phone: 740-432-1800
  • Fax:
Mailing address:
  • Phone: 740-459-0326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: