Individual
ASHLEY NICOLE CUMBERLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 DIVISION ST STE 304, SOUTH CHARLESTON, WV 25309-1455
(304) 767-7840
(304) 767-7849
Mailing address
152 ROXALANA HILLS DR, DUNBAR, WV 25064-1903
(724) 833-5067
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00893800
NJ
363A00000X
Physician Assistant
Primary
2969
WV
363AM0700X
Medical Physician Assistant
MA066152
PA
Other
Enumeration date
12/05/2024
Last updated
09/16/2025
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