Provider Demographics
NPI:1780270751
Name:WOLFE, ASHLEY (PA-C)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:WOLFE
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2025 TECHNOLOGY PKWY STE 212
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-9402
Mailing Address - Country:US
Mailing Address - Phone:717-988-8185
Mailing Address - Fax:717-221-5638
Practice Address - Street 1:2025 TECHNOLOGY PKWY STE 212
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-9402
Practice Address - Country:US
Practice Address - Phone:717-988-8185
Practice Address - Fax:717-221-5638
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-14
Last Update Date:2022-05-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA061870363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical