Basic Information
| Provider Information | |||||||||
| NPI: | 1487377024 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRASCA | ||||||||
| FirstName: | ASHLEY | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5800 S WINDS DR APT 131 | ||||||||
| Address2: | |||||||||
| City: | MENTOR ON THE LAKE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440608511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303147847 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7950 AUBURN RD | ||||||||
| Address2: | |||||||||
| City: | CONCORD TOWNSHIP | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44077 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4403758100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2022 | ||||||||
| LastUpdateDate: | 09/20/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 50.007811RX | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.