Individual
RICHARD GENE ASHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.P.
Contact information
Practice address
1740 E BROAD ST, HAZLETON, PA 18201-5667
(570) 459-2901
(570) 459-6090
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TP005647B
PA
363LF0000X
Family Nurse Practitioner
TP005647B
PA
Other
Enumeration date
01/09/2007
Last updated
08/11/2020
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