Healthcare Provider Details

I. General information

NPI: 1578843553
Provider Name (Legal Business Name): ASHLEY BROWN-COMBS RNC-NIC, CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2011
Last Update Date: 10/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9393 MONTGOMERY RD
CINCINNATI OH
45242-7725
US

IV. Provider business mailing address

9393 MONTGOMERY RD
CINCINNATI OH
45242-7725
US

V. Phone/Fax

Practice location:
  • Phone: 513-288-2214
  • Fax:
Mailing address:
  • Phone: 513-288-2214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number319157
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: