Healthcare Provider Details

I. General information

NPI: 1932232998
Provider Name (Legal Business Name): ASHLEY E EASTERLING CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 10/12/2024
Certification Date: 10/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7502 STATE RD STE 1180
CINCINNATI OH
45255-2596
US

IV. Provider business mailing address

7502 STATE RD STE 1180
CINCINNATI OH
45255-2596
US

V. Phone/Fax

Practice location:
  • Phone: 513-624-2955
  • Fax: 513-624-2956
Mailing address:
  • Phone: 513-624-2955
  • Fax: 513-624-2956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License NumberCOA.09330-NP
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberCOA.09330-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: