Healthcare Provider Details

I. General information

NPI: 1285068353
Provider Name (Legal Business Name): MICHELLE M ASHMAN NP-C, RN, CWOCN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2013
Last Update Date: 08/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 S MAIN ST
CELINA OH
45822-2413
US

IV. Provider business mailing address

950 S MAIN ST
CELINA OH
45822-2413
US

V. Phone/Fax

Practice location:
  • Phone: 419-586-9657
  • Fax: 419-586-1611
Mailing address:
  • Phone: 419-586-9657
  • Fax: 419-586-1611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN. 304188-COA1
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.14505-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: