Provider Demographics
NPI:1154032209
Name:ABNER, ASHLY DAWN (LPN)
Entity type:Individual
Prefix:
First Name:ASHLY
Middle Name:DAWN
Last Name:ABNER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 BILSTEIN BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45015-2218
Mailing Address - Country:US
Mailing Address - Phone:513-275-4273
Mailing Address - Fax:513-889-1641
Practice Address - Street 1:8500 BILSTEIN BLVD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45015-2218
Practice Address - Country:US
Practice Address - Phone:513-275-4273
Practice Address - Fax:513-889-1641
Is Sole Proprietor?:No
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.114415-MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse