Provider Demographics
NPI:1154037174
Name:OLIVER, ASHLEY LIKKA (BSN, RN, CCRN, CEN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LIKKA
Last Name:OLIVER
Suffix:
Gender:F
Credentials:BSN, RN, CCRN, CEN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 DEER TRACE LN
Mailing Address - Street 2:
Mailing Address - City:NEW KENT
Mailing Address - State:VA
Mailing Address - Zip Code:23124-2438
Mailing Address - Country:US
Mailing Address - Phone:305-878-8061
Mailing Address - Fax:
Practice Address - Street 1:9100 DEER TRACE LN
Practice Address - Street 2:
Practice Address - City:NEW KENT
Practice Address - State:VA
Practice Address - Zip Code:23124-2438
Practice Address - Country:US
Practice Address - Phone:305-878-8061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9462104163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse