Healthcare Provider Details

I. General information

NPI: 1649198862
Provider Name (Legal Business Name): ASHLEY FARESTER PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

110 FORT COUCH RD STE 2
PITTSBURGH PA
15241-1030
US

IV. Provider business mailing address

110 FORT COUCH RD STE 2
PITTSBURGH PA
15241-1030
US

V. Phone/Fax

Practice location:
  • Phone: 412-831-1223
  • Fax: 412-831-1034
Mailing address:
  • Phone: 412-831-1223
  • Fax: 412-831-1034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP036378
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: