Provider Demographics
NPI:1578440079
Name:BROWN, ASHLEY RENEA
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RENEA
Last Name:BROWN
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 1:10384 STATE ROUTE 73
Mailing Address - Street 2:
Mailing Address - City:OTWAY
Mailing Address - State:OH
Mailing Address - Zip Code:45657-9191
Mailing Address - Country:US
Mailing Address - Phone:740-577-6443
Mailing Address - Fax:
Practice Address - Street 1:10384 STATE ROUTE 73
Practice Address - Street 2:
Practice Address - City:OTWAY
Practice Address - State:OH
Practice Address - Zip Code:45657-9191
Practice Address - Country:US
Practice Address - Phone:740-577-6443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide