Healthcare Provider Details

I. General information

NPI: 1336503507
Provider Name (Legal Business Name): ASHLEY VESPIE-NGUYEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2016
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8350 ARBOR SQUARE DR
MASON OH
45040-5000
US

IV. Provider business mailing address

8350 ARBOR SQUARE DR
MASON OH
45040-5000
US

V. Phone/Fax

Practice location:
  • Phone: 513-346-3399
  • Fax: 513-229-8310
Mailing address:
  • Phone: 513-346-3399
  • Fax: 513-229-8310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35136604
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: