MEDICARE: MRS. ASHLEY FOX BORDEN

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1942762083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY FOX BORDEN

Provider Business Mailing Address
First Line	:	3126 ESSINGTON DR
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-1762
Country	:	US
Telephone Number	:	614-795-4143
Fax Number	:

Provider Business Practice Location Address
First Line	:	4889 SINCLAIR RD STE 107
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-5433
Country	:	US
Telephone Number	:	614-795-4143
Fax Number	:

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

Provider Enumeration Date	:	04/05/2019
Last Update Date	:	08/17/2022

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Directions to “ MRS. ASHLEY FOX BORDEN ” Practice Location

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