Basic Information
| Provider Information | |||||||||
| NPI: | 1235709510 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OHLER | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1810 LINDBERG DR STE 2100 | ||||||||
| Address2: | |||||||||
| City: | SLIDELL | ||||||||
| State: | LA | ||||||||
| PostalCode: | 704588160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9856492700 | ||||||||
| FaxNumber: | 9856498488 | ||||||||
| Practice Location | |||||||||
| Address1: | 1810 LINDBERG DR STE 2100 | ||||||||
| Address2: | |||||||||
| City: | SLIDELL | ||||||||
| State: | LA | ||||||||
| PostalCode: | 704588160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9856492700 | ||||||||
| FaxNumber: | 9856498488 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2021 | ||||||||
| LastUpdateDate: | 06/29/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 327808 | LA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.