Healthcare Provider Details

I. General information

NPI: 1760868152
Provider Name (Legal Business Name): ASHLEY BATSA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY HEINING

II. Dates (important events)

Enumeration Date: 08/07/2015
Last Update Date: 02/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MELLON WAY
LATROBE PA
15650-1197
US

IV. Provider business mailing address

520 JEFFERSON AVE SUITE 400
JEANNETTE PA
15644-2538
US

V. Phone/Fax

Practice location:
  • Phone: 724-537-1000
  • Fax:
Mailing address:
  • Phone: 724-527-8060
  • Fax: 724-522-4002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP015191
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: