Provider Demographics
NPI:1689566523
Name:CARMAN, ASHLEY MARIE (RN, BSN, CLC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:MARIE
Last Name:CARMAN
Suffix:
Gender:F
Credentials:RN, BSN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 ROCKY DR
Mailing Address - Street 2:
Mailing Address - City:LENORE
Mailing Address - State:ID
Mailing Address - Zip Code:83541-5036
Mailing Address - Country:US
Mailing Address - Phone:208-827-0090
Mailing Address - Fax:
Practice Address - Street 1:51 ROCKY DR
Practice Address - Street 2:
Practice Address - City:LENORE
Practice Address - State:ID
Practice Address - Zip Code:83541-5036
Practice Address - Country:US
Practice Address - Phone:208-827-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID56839163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty