Provider Demographics
NPI:1154130516
Name:STANLEY, ASHTON ELIZABETH (IBCLC)
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:ELIZABETH
Last Name:STANLEY
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:ASHTON
Other - Middle Name:ELIZABETH
Other - Last Name:SWAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12791 ALANTHUS RD
Mailing Address - Street 2:
Mailing Address - City:BRANDY STATION
Mailing Address - State:VA
Mailing Address - Zip Code:22714-1907
Mailing Address - Country:US
Mailing Address - Phone:571-316-8265
Mailing Address - Fax:
Practice Address - Street 1:12791 ALANTHUS RD
Practice Address - Street 2:
Practice Address - City:BRANDY STATION
Practice Address - State:VA
Practice Address - Zip Code:22714-1907
Practice Address - Country:US
Practice Address - Phone:571-316-8265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001281184163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant