Provider Demographics
NPI:1225873151
Name:GROWDEN, ASHLEY MEGAN (RN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MEGAN
Last Name:GROWDEN
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 1:1952 NEW CREEK HWY
Mailing Address - Street 2:
Mailing Address - City:KEYSER
Mailing Address - State:WV
Mailing Address - Zip Code:26726-7494
Mailing Address - Country:US
Mailing Address - Phone:304-597-1258
Mailing Address - Fax:
Practice Address - Street 1:1952 NEW CREEK HWY
Practice Address - Street 2:
Practice Address - City:KEYSER
Practice Address - State:WV
Practice Address - Zip Code:26726-7494
Practice Address - Country:US
Practice Address - Phone:304-597-1258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR259989163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health