Healthcare Provider Details

I. General information

NPI: 1922706498
Provider Name (Legal Business Name): ASHLEY LYNN ANTHONY LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY LYNN STUTZ

II. Dates (important events)

Enumeration Date: 02/23/2023
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 SMITH DR STE 3
CRANBERRY TWP PA
16066-4131
US

IV. Provider business mailing address

301 SMITH DR STE 3
CRANBERRY TWP PA
16066-4131
US

V. Phone/Fax

Practice location:
  • Phone: 724-779-2010
  • Fax:
Mailing address:
  • Phone: 724-779-2010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN287706
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: