Provider Demographics
NPI:1396171369
Name:FRIESON, ASHLEY NICOLE (LPN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NICOLE
Last Name:FRIESON
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 1:4361 CLARKWOOD PKWY
Mailing Address - Street 2:APT 407
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-4821
Mailing Address - Country:US
Mailing Address - Phone:216-712-9116
Mailing Address - Fax:
Practice Address - Street 1:4361 CLARKWOOD PKWY
Practice Address - Street 2:APT 407
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44128-4821
Practice Address - Country:US
Practice Address - Phone:216-712-9116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-22
Last Update Date:2013-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH149195164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse