MEDICARE: ASHLEY LYNN SWARTZ NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	SP027464	PA
2	363LP2300X	Primary Care Nurse Practitioner	SP020774	PA

General Provider Information

NPI Number	:	1528601739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY LYNN SWARTZ NP-C

Provider Business Mailing Address
First Line	:	9528 LINCOLN HWY STE 1
Second Line	:
City	:	BEDFORD
State	:	PA
Zip	:	15522-3764
Country	:	US
Telephone Number	:	814-310-5409
Fax Number	:	814-310-5410

Provider Business Practice Location Address
First Line	:	9528 LINCOLN HWY STE 1
Second Line	:
City	:	BEDFORD
State	:	PA
Zip	:	15522-3764
Country	:	US
Telephone Number	:	814-310-5409
Fax Number	:	814-310-5410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2019
Last Update Date	:	05/23/2023

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