Individual
MS. ASHLEY C PRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
879 HOSPITAL ROAD, INDIANA, PA 15774
(724) 357-7000
Mailing address
640 KOLTER DRIVE, INDIANA, PA 15701
(724) 357-7234
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP019521
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN635653
RN LICENSE
PA
01
—
SP019521
NP LICENSE
PA
Enumeration date
11/27/2018
Last updated
05/05/2021
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