Doctor Name: | ASHLEY ELIZABETH BERMAN |
NPI Number: | 1164733192 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP-PC |
License Number: | COA.11524-NP |
Business Practice Address: | 616 Willard St. Washington Court House, OH - 431601899 |
Business Phone Number: | 7403350886 |
Business Fax Number: | 7403351924 |
Mailing Address: | 616 Willard St., WASHINGTON COURT HOUSE |
State: | OH |
Postal Code: | 431601899 |
Phone Number: | 7403350886 |
Fax Number: | 7403351924 |
NPI Enumeration Date: | 06/24/2010 |
NPI Last Update Date: | 11/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | COA.11524-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |