Provider Demographics
NPI:1003291618
Name:DRAPER, ASHLEY N (CRNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:N
Last Name:DRAPER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:N
Other - Last Name:REAGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:540 N DUKE ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2374
Mailing Address - Country:US
Mailing Address - Phone:717-544-4995
Mailing Address - Fax:717-544-4944
Practice Address - Street 1:540 N DUKE ST
Practice Address - Street 2:SUITE 110
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2374
Practice Address - Country:US
Practice Address - Phone:717-544-4995
Practice Address - Fax:717-544-4944
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015123363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103162266Medicaid
PA429214Medicare PIN