Provider Demographics
NPI:1164239455
Name:NUGENT, ASHLEE DEE
Entity type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:DEE
Last Name:NUGENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3140 VALLEY VW NE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-8031
Mailing Address - Country:US
Mailing Address - Phone:231-571-3099
Mailing Address - Fax:
Practice Address - Street 1:3140 VALLEY VW NE
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-8031
Practice Address - Country:US
Practice Address - Phone:231-571-3099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula