Provider Demographics
NPI:1659584746
Name:ASHTON, SHARON KAY (PA-C)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:ASHTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:KAY
Other - Last Name:ASHTON
Other - Suffix:I
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:1652 W AVENUE J
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2814
Mailing Address - Country:US
Mailing Address - Phone:661-729-2511
Mailing Address - Fax:
Practice Address - Street 1:1652 W AVENUE J
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2814
Practice Address - Country:US
Practice Address - Phone:661-729-2511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA11061363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical