Provider Demographics
NPI:1417320177
Name:RHOADS, ASHLY (CRNP)
Entity Type:Individual
Prefix:
First Name:ASHLY
Middle Name:
Last Name:RHOADS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 WILLIAMS RD APT A19
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-2372
Mailing Address - Country:US
Mailing Address - Phone:717-808-2576
Mailing Address - Fax:
Practice Address - Street 1:822 MONTGOMERY AVE STE 315
Practice Address - Street 2:NARBERTH FAMILY MEDICINE
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072
Practice Address - Country:US
Practice Address - Phone:610-667-4601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-03
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015410363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care