Provider Demographics
NPI:1730646654
Name:BARD, ASHLEY FAYE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:FAYE
Last Name:BARD
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 1:7001 NORTH HIGHWAY 309
Mailing Address - Street 2:
Mailing Address - City:COOPERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18036-1109
Mailing Address - Country:US
Mailing Address - Phone:610-282-4104
Mailing Address - Fax:
Practice Address - Street 1:7001 NORTH HIGHWAY 309
Practice Address - Street 2:
Practice Address - City:COOPERSBURG
Practice Address - State:PA
Practice Address - Zip Code:18036-1109
Practice Address - Country:US
Practice Address - Phone:610-282-4104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-27
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019837363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily