Healthcare Provider Details

I. General information

NPI: 1447823380
Provider Name (Legal Business Name): ASHLEY SHEARER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2021
Last Update Date: 08/03/2022
Certification Date: 08/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 TURNPIKE AVE STE 120
CLEARFIELD PA
16830-1238
US

IV. Provider business mailing address

807 TURNPIKE AVE STE 120
CLEARFIELD PA
16830-1238
US

V. Phone/Fax

Practice location:
  • Phone: 814-765-2261
  • Fax: 814-765-4421
Mailing address:
  • Phone: 814-765-2261
  • Fax: 814-765-4421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN69178
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP024121
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: