Provider Demographics
NPI:1629578471
Name:O'CONNOR, ASHLEY R (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:R
Last Name:O'CONNOR
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Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:333 N SUMMIT STREET / HEARTLAND CARE PARTNERS
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-2615
Mailing Address - Country:US
Mailing Address - Phone:800-427-1902
Mailing Address - Fax:419-531-2664
Practice Address - Street 1:505 WEYMAN ROAD
Practice Address - Street 2:HEARTLAND CARE PARTNERS
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-1584
Practice Address - Country:US
Practice Address - Phone:800-427-1902
Practice Address - Fax:419-531-2664
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
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Provider Licenses
StateLicense IDTaxonomies
PASP018429363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner