Provider Demographics
NPI:1588323596
Name:FIELDS, ASHLEY (CNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:FIELDS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 NW WASHINGTON BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-6381
Mailing Address - Country:US
Mailing Address - Phone:513-737-7246
Mailing Address - Fax:513-737-6601
Practice Address - Street 1:840 NW WASHINGTON BLVD STE C
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-6381
Practice Address - Country:US
Practice Address - Phone:513-737-7246
Practice Address - Fax:513-737-6601
Is Sole Proprietor?:No
Enumeration Date:2021-12-17
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0030459363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health