Basic Information
| Provider Information | |||||||||
| NPI: | 1346905338 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROMANIA | ||||||||
| FirstName: | ASHLEY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 641 GLEN VALLEY RD | ||||||||
| Address2: | |||||||||
| City: | ATHENS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 188109205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5703377289 | ||||||||
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| Practice Location | |||||||||
| Address1: | 740 S MEADOW ST | ||||||||
| Address2: | |||||||||
| City: | ITHACA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 148505377 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6073194563 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2021 | ||||||||
| LastUpdateDate: | 10/05/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 736622 | NY | N | Nursing Service Providers | Registered Nurse | 363L00000X | F350019-01 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.