Moon, Ashley Marie

Moon, Ashley Marie is an sole proprietor health care provider with primary practice located at 1205 River Ave Fl 1 , Williamsport PA 17701-3724. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Moon, Ashley Marie can be contacted via phone (570) 323-5991.

Contact Information

Primary practice address
1205 River Ave Fl 1 Williamsport PA 17701-3724
Phone: (570) 323-5991
Fax: (570) 323-6578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA053413 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA053413 Pennsylvania

Profile Details

NPI number 1053566687
LBN Legal business name Moon, Ashley Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2008
Last updated Apr 26th, 2022 - about 2 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 1053566687 NPPES
Pennsylvania MEDICAID 1031581000001

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