Provider Demographics
NPI:1144531500
Name:HARNDEN, ASHLEY N (DO)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:N
Last Name:HARNDEN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1030 HARRINGTON ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MOUNT CLEMENS
Mailing Address - State:MI
Mailing Address - Zip Code:48043-2967
Mailing Address - Country:US
Mailing Address - Phone:586-466-6230
Mailing Address - Fax:586-496-3828
Practice Address - Street 1:1030 HARRINGTON ST
Practice Address - Street 2:SUITE 103
Practice Address - City:MOUNT CLEMENS
Practice Address - State:MI
Practice Address - Zip Code:48043-2967
Practice Address - Country:US
Practice Address - Phone:586-466-6230
Practice Address - Fax:586-496-3828
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2015-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101018804208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1144531500Medicaid
MI1144531500Medicaid