Provider Demographics
NPI:1427768670
Name:TAYLOR, ASHLEY MICHELLE
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:MICHELLE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4847 ERIE ST
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-1619
Mailing Address - Country:US
Mailing Address - Phone:330-501-2430
Mailing Address - Fax:
Practice Address - Street 1:4847 ERIE ST
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-1619
Practice Address - Country:US
Practice Address - Phone:330-501-2430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-29
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCURRENT163WS0200X
376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No163WS0200XNursing Service ProvidersRegistered NurseSchool