Individual
ASHLEY A. CARRASQUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7690 DISCOVERY DR, SUITE 3100, WEST CHESTER, OH 45069-6542
(513) 475-7630
(513) 475-7636
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5505
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA 13942 NP
OH
Other
Enumeration date
09/25/2012
Last updated
06/08/2017
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