=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861306599
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASHLEY LITTELL
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/30/2026
-----------------------------------------------------
Last Update Date | 09/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2253 ATLANTIC ST NE
-----------------------------------------------------
City | WARREN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44483-4470
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-373-4500
-----------------------------------------------------
Fax | 330-373-4510
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2253 ATLANTIC ST NE
-----------------------------------------------------
City | WARREN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44483-4470
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-373-4500
-----------------------------------------------------
Fax | 330-373-4510
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | RN.454235
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------