Healthcare Provider Details

I. General information

NPI: 1861070435
Provider Name (Legal Business Name): ASHLEY NICOLE NEVILLE CPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 04/01/2021
Certification Date: 04/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25000 EUCLID AVE STE 401
EUCLID OH
44117-2645
US

IV. Provider business mailing address

25000 EUCLID AVE STE 401
EUCLID OH
44117-2645
US

V. Phone/Fax

Practice location:
  • Phone: 216-417-3667
  • Fax: 216-916-4156
Mailing address:
  • Phone: 216-417-3667
  • Fax: 216-916-4156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number01277192
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: