Healthcare Provider Details

I. General information

NPI: 1861308694
Provider Name (Legal Business Name): ASHLEY ILES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5330 S MILFORD RD
MILFORD OH
45150-9563
US

IV. Provider business mailing address

5330 S MILFORD RD
MILFORD OH
45150-9563
US

V. Phone/Fax

Practice location:
  • Phone: 513-720-0609
  • Fax:
Mailing address:
  • Phone: 513-720-0609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number489097
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: