Individual
ASHLEY NICOLE PERTUSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3050 MACK RD STE 200, FAIRFIELD, OH 45014-5375
(513) 347-9999
(513) 215-9397
Mailing address
3050 MACK RD STE 200, FAIRFIELD, OH 45014-5375
(513) 347-9999
(513) 215-9397
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003586
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083192
—
OH
05
—
7100718630
—
KY
Enumeration date
09/17/2012
Last updated
12/30/2025
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