Healthcare Provider Details

I. General information

NPI: 1093316606
Provider Name (Legal Business Name): ASHLEY DENISE CANTRELL CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY DENISE HANKS APRN, CNM

II. Dates (important events)

Enumeration Date: 11/02/2020
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 EDENS RD
PICKENS SC
29671
US

IV. Provider business mailing address

520 EDENS RD
PICKENS SC
29671-8827
US

V. Phone/Fax

Practice location:
  • Phone: 864-438-6766
  • Fax:
Mailing address:
  • Phone: 864-438-6766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number31344
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number254902
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: