Doctor Name: | ASHLEY R ROUT |
NPI Number: | 1063815736 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP014104 |
Business Practice Address: | 2550 Mosside Blvd Ste 208 Monroeville, PA - 151463540 |
Business Phone Number: | 7242263055 |
Business Fax Number: | 4123305522 |
Mailing Address: | 2550 Mosside Blvd, Ste 208 MONROEVILLE |
State: | PA |
Postal Code: | 151463540 |
Phone Number: | 7242263055 |
Fax Number: | 4123305522 |
NPI Enumeration Date: | 10/08/2014 |
NPI Last Update Date: | 10/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | SP014104 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |