Provider Demographics
NPI:1417702432
Name:WARD, ASHLEY LEE (STNA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LEE
Last Name:WARD
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3847 STATE ROUTE 603
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:44865-9771
Mailing Address - Country:US
Mailing Address - Phone:567-224-7332
Mailing Address - Fax:
Practice Address - Street 1:3847 STATE ROUTE 603
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:OH
Practice Address - Zip Code:44865-9771
Practice Address - Country:US
Practice Address - Phone:567-224-7332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401867000616376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide