Healthcare Provider Details

I. General information

NPI: 1023097797
Provider Name (Legal Business Name): ANITA E ASHTON P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 01/18/2021
Certification Date: 01/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 NORTH ST
HANOVER PA
17331-2275
US

IV. Provider business mailing address

20 NORTH ST
HANOVER PA
17331-2275
US

V. Phone/Fax

Practice location:
  • Phone: 717-637-7755
  • Fax: 717-637-7142
Mailing address:
  • Phone: 717-637-7755
  • Fax: 717-637-7142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberOA000090L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: