Healthcare Provider Details

I. General information

NPI: 1659994820
Provider Name (Legal Business Name): ASHLEY M COMBERGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY M INKS

II. Dates (important events)

Enumeration Date: 05/22/2020
Last Update Date: 05/22/2020
Certification Date: 05/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7857 EUCLID AVE
CINCINNATI OH
45243-2604
US

IV. Provider business mailing address

7857 EUCLID AVE
CINCINNATI OH
45243-2604
US

V. Phone/Fax

Practice location:
  • Phone: 513-262-3873
  • Fax:
Mailing address:
  • Phone: 513-262-3873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number410339
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: