Individual
ASHLEY M HEADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
180 N FRANKLIN ST STE B, COCHRANTON, PA 16314-9706
(814) 425-1126
(814) 425-1156
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5736
(814) 333-5819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN634066
PA
363LF0000X
Family Nurse Practitioner
Primary
SP017122
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3528142
HIGMARK
PA
Enumeration date
12/27/2016
Last updated
02/19/2025
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