Provider Demographics
NPI:1720805781
Name:CRIBBS, ASHLEY L (RN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:L
Last Name:CRIBBS
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 1:4575 OGLETHORPE LOOP NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-9545
Mailing Address - Country:US
Mailing Address - Phone:770-548-5565
Mailing Address - Fax:
Practice Address - Street 1:4575 OGLETHORPE LOOP NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-9545
Practice Address - Country:US
Practice Address - Phone:770-548-5565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN199211163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse