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NPI Code Detail

MEDICARE: ASHLEY SANDOWICK CRNP

MEDICARE: ASHLEY SANDOWICK CRNP
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
1363L00000XNurse PractitionerSP021429PA

General Provider Information

NPI Number : 1639700966
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY SANDOWICK CRNP
Provider Business Mailing Address
First Line : 801 OSTRUM ST
Second Line :
City : BETHLEHEM
State : PA
Zip : 18015-1000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 174 HARVEST LN
Second Line :
City : POCONO SUMMIT
State : PA
Zip : 18346-7761
Country : US
Telephone Number : 272-639-5430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2020
Last Update Date : 08/01/2025

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