Provider Demographics
NPI:1851915656
Name:HAWTHORNE, ASHLEIGH T (PA-C)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:T
Last Name:HAWTHORNE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:T
Other - Last Name:PEDONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:520 GREENBRIAR RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-1335
Mailing Address - Country:US
Mailing Address - Phone:717-849-5465
Mailing Address - Fax:717-767-6716
Practice Address - Street 1:520 GREENBRIAR RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-1335
Practice Address - Country:US
Practice Address - Phone:717-849-5465
Practice Address - Fax:717-767-6716
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA061671363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant