Provider Demographics
NPI:1982497764
Name:MITCHELL, ASHLEY R
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:R
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 GLENN AVE
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-3458
Mailing Address - Country:US
Mailing Address - Phone:972-569-7361
Mailing Address - Fax:
Practice Address - Street 1:336 GLENN AVE
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-3458
Practice Address - Country:US
Practice Address - Phone:972-569-7361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program