Provider Demographics
NPI:1700693579
Name:BINGHAM, ASHLEY ANN (RN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:BINGHAM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 WALKER RD
Mailing Address - Street 2:
Mailing Address - City:NORRIDGEWOCK
Mailing Address - State:ME
Mailing Address - Zip Code:04957-3627
Mailing Address - Country:US
Mailing Address - Phone:207-509-0507
Mailing Address - Fax:
Practice Address - Street 1:313 WALKER RD
Practice Address - Street 2:
Practice Address - City:NORRIDGEWOCK
Practice Address - State:ME
Practice Address - Zip Code:04957-3627
Practice Address - Country:US
Practice Address - Phone:207-509-0507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN75503163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse