Provider Demographics
NPI:1265993307
Name:GEHRET, ASHLEIGH GALE (FNP-C)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:GALE
Last Name:GEHRET
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:GALE
Other - Last Name:GILBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:522 W REESER ST
Mailing Address - Street 2:
Mailing Address - City:LEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:19533-9533
Mailing Address - Country:US
Mailing Address - Phone:610-406-1797
Mailing Address - Fax:
Practice Address - Street 1:1903 MORGANTOWN RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607-9620
Practice Address - Country:US
Practice Address - Phone:610-777-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020165363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily