Individual
ASHLEY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 N DETROIT ST, XENIA, OH 45385-2909
(937) 610-4673
(937) 736-2615
Mailing address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(513) 743-7628
(513) 737-1107
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.494849
OH
164W00000X
Licensed Practical Nurse
LPN.171534.MEDS-IV
OH
Other
Enumeration date
02/01/2021
Last updated
10/30/2023
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