Provider Demographics
NPI:1033583802
Name:PARSONS, ASHLEY
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 LEFORGE RD
Mailing Address - Street 2:APT 624
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-3574
Mailing Address - Country:US
Mailing Address - Phone:517-896-3394
Mailing Address - Fax:
Practice Address - Street 1:1425 LEFORGE RD
Practice Address - Street 2:APT 624
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-3574
Practice Address - Country:US
Practice Address - Phone:517-896-3394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIP625072630843247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other