MEDICARE: ASHLEY E CORMIER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1740077189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY E CORMIER

Provider Business Mailing Address
First Line	:	619 W MAIN ST # 1014
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77375-5500
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	619 W MAIN ST # 1014
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77375-5500
Country	:	US
Telephone Number	:	512-586-0107
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2025
Last Update Date	:	05/10/2025

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Directions to “ ASHLEY E CORMIER ” Practice Location

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