Healthcare Provider Details

I. General information

NPI: 1194662247
Provider Name (Legal Business Name): ASHLEY PONCE BS, RN, OCN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY STRASHEIM BS, RN, OCN

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9450 INNOVATION DR
MANASSAS VA
20110-2214
US

IV. Provider business mailing address

9450 INNOVATION DR
MANASSAS VA
20110-2214
US

V. Phone/Fax

Practice location:
  • Phone: 571-222-2258
  • Fax: 571-222-2258
Mailing address:
  • Phone: 571-222-2258
  • Fax: 571-222-2258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number0001260405
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: