Provider Demographics
NPI:1366882631
Name:AHLMAN, JOANNA R (CLD)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:R
Last Name:AHLMAN
Suffix:
Gender:F
Credentials:CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12032 REGENT RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-0016
Mailing Address - Country:US
Mailing Address - Phone:706-604-7138
Mailing Address - Fax:
Practice Address - Street 1:12032 REGENT RIDGE LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-0016
Practice Address - Country:US
Practice Address - Phone:706-604-7138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC46-3087980374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula