Provider Demographics
NPI:1700597523
Name:ASHELFORD, CHERYL MARIE
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:MARIE
Last Name:ASHELFORD
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 1:4600 LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-2080
Mailing Address - Country:US
Mailing Address - Phone:402-436-1213
Mailing Address - Fax:
Practice Address - Street 1:4600 LEWIS AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-2080
Practice Address - Country:US
Practice Address - Phone:402-436-1213
Practice Address - Fax:402-458-3213
Is Sole Proprietor?:No
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other