Provider Demographics
NPI:1124498910
Name:BELL, ASHLEY LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYNN
Last Name:BELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:LYNN
Other - Last Name:ADDISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3944 BRODHEAD ROAD
Mailing Address - Street 2:SUITE 7B
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061
Mailing Address - Country:US
Mailing Address - Phone:724-656-4320
Mailing Address - Fax:724-656-4324
Practice Address - Street 1:3944 BRODHEAD ROAD
Practice Address - Street 2:SUITE 7B
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061
Practice Address - Country:US
Practice Address - Phone:724-656-4320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-06
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA057940363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical