Ash, Laurissa Rae

Ash, Laurissa Rae is an individual health care provider with primary practice located at 4000 Linglestown Rd , Harrisburg PA 17112-1017. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Ash, Laurissa Rae can be contacted via phone (717) 231-8508.

Contact Information

Primary practice address
4000 Linglestown Rd Harrisburg PA 17112-1017
Phone: (717) 231-8508
Fax: (717) 231-8535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP015317 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X SP015317 Pennsylvania

Profile Details

NPI number 1508234790
LBN Legal business name Ash, Laurissa Rae
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2015
Last updated Jul 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508234790 NPPES
Pennsylvania MEDICAID 103045911

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