Provider Demographics
NPI:1063235034
Name:HOWARD, ASHLEY VIRGINIA
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:VIRGINIA
Last Name:HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5931 GAREAU DR
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-4162
Mailing Address - Country:US
Mailing Address - Phone:854-216-2926
Mailing Address - Fax:
Practice Address - Street 1:1460 ROCKEFELLER RD
Practice Address - Street 2:
Practice Address - City:WICKLIFFE
Practice Address - State:OH
Practice Address - Zip Code:44092-1932
Practice Address - Country:US
Practice Address - Phone:854-216-2926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator