Odom, Ashley

Odom, Ashley is an sole proprietor health care provider with primary practice located at 12932 Hazelwood Dr , Nokesville VA 20181-2505. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Pediatrics. Nursing Service Providers / Registered Nurse is her primary health care specialty. Odom, Ashley can be contacted via phone (540) 392-8021.

Contact Information

Primary practice address
12932 Hazelwood Dr Nokesville VA 20181-2505
Phone: (540) 392-8021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN61140546 Washington
Nursing Service Providers / Pediatrics 163WP0200X RN61140546 Washington

Profile Details

NPI number 1619551900
LBN Legal business name Odom, Ashley
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2021
Last updated May 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619551900 NPPES
Washington MEDICAID 0000000
Washington Other 00000000

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