Provider Demographics
NPI:1083044267
Name:TODD, ASHLEY (RN)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:TODD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S PARKER DR STE 7
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-6059
Mailing Address - Country:US
Mailing Address - Phone:866-877-2762
Mailing Address - Fax:866-992-7144
Practice Address - Street 1:700 S PARKER DR STE 7
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-6059
Practice Address - Country:US
Practice Address - Phone:866-877-2762
Practice Address - Fax:866-992-7144
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC80576163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse