Healthcare Provider Details

I. General information

NPI: 1407318579
Provider Name (Legal Business Name): ASHLEY NICOLE CUNNINGHAM DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY NICOLE COLLINS MD

II. Dates (important events)

Enumeration Date: 04/05/2019
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6131 CAMPUS LN
CINCINNATI OH
45230-1601
US

IV. Provider business mailing address

424 WARDS CORNER RD STE 200
LOVELAND OH
45140-6966
US

V. Phone/Fax

Practice location:
  • Phone: 513-231-5088
  • Fax: 513-231-2520
Mailing address:
  • Phone: 513-707-4041
  • Fax: 513-576-1020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34.016552
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: