Basic Information
| Provider Information | |||||||||
| NPI: | 1780270751 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WOLFE | ||||||||
| FirstName: | ASHLEY | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2025 TECHNOLOGY PKWY STE 212 | ||||||||
| Address2: | |||||||||
| City: | MECHANICSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170509402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7179888185 | ||||||||
| FaxNumber: | 7172215638 | ||||||||
| Practice Location | |||||||||
| Address1: | 2025 TECHNOLOGY PKWY STE 212 | ||||||||
| Address2: | |||||||||
| City: | MECHANICSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170509402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7179888185 | ||||||||
| FaxNumber: | 7172215638 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/14/2020 | ||||||||
| LastUpdateDate: | 05/26/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AS0400X | MA061870 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical |
No ID Information.