Provider Demographics
NPI:1366080152
Name:CLINGENPEEL, ASHLEIGH (RN)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:CLINGENPEEL
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 1:1281 STACY RD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1628
Mailing Address - Country:US
Mailing Address - Phone:703-231-0035
Mailing Address - Fax:
Practice Address - Street 1:6918 SHARPSBURG DR
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2599
Practice Address - Country:US
Practice Address - Phone:703-266-6693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-12
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
VA0001293311163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty