Healthcare Provider Details

I. General information

NPI: 1952118739
Provider Name (Legal Business Name): ASHLEY RICCARDINO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3824 NORTHERN PIKE
MONROEVILLE PA
15146-2141
US

IV. Provider business mailing address

3824 NORTHERN PIKE STE 200
MONROEVILLE PA
15146-2173
US

V. Phone/Fax

Practice location:
  • Phone: 412-380-2800
  • Fax:
Mailing address:
  • Phone: 412-380-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: