Provider Demographics
NPI:1871299586
Name:DAVIDSON, ASHLEY (DONA (CD))
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:DAVIDSON
Suffix:
Gender:F
Credentials:DONA (CD)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63672 MOUND RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48095-2304
Mailing Address - Country:US
Mailing Address - Phone:586-531-0418
Mailing Address - Fax:
Practice Address - Street 1:63672 MOUND RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MI
Practice Address - Zip Code:48095-2304
Practice Address - Country:US
Practice Address - Phone:586-531-0418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI14232374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula