Provider Demographics
NPI:1053633560
Name:REITER, ASHLEY A (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:A
Last Name:REITER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:420 W LINFIELD TRAPPE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-4278
Mailing Address - Country:US
Mailing Address - Phone:484-938-4030
Mailing Address - Fax:484-938-4040
Practice Address - Street 1:420 W LINFIELD TRAPPE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-4278
Practice Address - Country:US
Practice Address - Phone:484-938-4030
Practice Address - Fax:484-938-4040
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010554363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health