Healthcare Provider Details

I. General information

NPI: 1841572625
Provider Name (Legal Business Name): ASHLEY LORREN BEAR DNP, RN, PMHCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2011
Last Update Date: 01/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 ROBSON RD
DILLSBURG PA
17019-8920
US

IV. Provider business mailing address

300 ROBSON RD
DILLSBURG PA
17019-8920
US

V. Phone/Fax

Practice location:
  • Phone: 717-968-9877
  • Fax:
Mailing address:
  • Phone: 717-968-9877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number000086
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: