Provider Demographics
NPI:1124692637
Name:GILES, ASHLEY M (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:M
Last Name:GILES
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:M
Other - Last Name:GILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:943 GOETHALS RD N
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10303-1760
Mailing Address - Country:US
Mailing Address - Phone:347-351-5838
Mailing Address - Fax:
Practice Address - Street 1:943 GOETHALS RD N
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10303-1760
Practice Address - Country:US
Practice Address - Phone:347-351-5838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY791118163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health