Provider Demographics
NPI:1528336120
Name:ASHTON, MARCIA ANN (RN)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:ANN
Last Name:ASHTON
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 1:2083 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:ELMIRA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:14903-1652
Mailing Address - Country:US
Mailing Address - Phone:607-733-5604
Mailing Address - Fax:607-737-7976
Practice Address - Street 1:160 OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:ELMIRA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:14903-1631
Practice Address - Country:US
Practice Address - Phone:607-734-5604
Practice Address - Fax:607-737-7976
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY418345-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool