MEDICARE: ASHLEY R FUOSS CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	SP028504	PA

General Provider Information

NPI Number	:	1972375327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY R FUOSS CRNP

Provider Business Mailing Address
First Line	:	1414 9TH AVE
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16602-2415
Country	:	US
Telephone Number	:	814-946-7578
Fax Number	:	814-946-3723

Provider Business Practice Location Address
First Line	:	1414 9TH AVE
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16602-2415
Country	:	US
Telephone Number	:	814-946-7578
Fax Number	:	814-946-3723

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2023
Last Update Date	:	04/19/2026

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