Healthcare Provider Details

I. General information

NPI: 1578486445
Provider Name (Legal Business Name): CHEYANNE RUTH BEISWENGER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 FRANCISCAN WAY
LORETTO PA
15940-9703
US

IV. Provider business mailing address

326 BEISWENGER LN
ASHVILLE PA
16613-8620
US

V. Phone/Fax

Practice location:
  • Phone: 814-472-3000
  • Fax:
Mailing address:
  • Phone: 814-615-3885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: