Provider Demographics
NPI:1679872360
Name:PRESLEY, ASHLEY VIOLET (LPN)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:VIOLET
Last Name:PRESLEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:VIOLET
Other - Last Name:GRENNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:19444 SHADLEY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43014-9500
Mailing Address - Country:US
Mailing Address - Phone:740-398-1575
Mailing Address - Fax:
Practice Address - Street 1:19444 SHADLEY VALLEY RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:OH
Practice Address - Zip Code:43014-9500
Practice Address - Country:US
Practice Address - Phone:740-398-1575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-21
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 137295164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse