Provider Demographics
NPI:1750641270
Name:LACHAPPELLE, ASHLEY N (PA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:N
Last Name:LACHAPPELLE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:114 WOODLAND ST
Mailing Address - Street 2:CARDIOLOGY
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1208
Mailing Address - Country:US
Mailing Address - Phone:860-714-4202
Mailing Address - Fax:860-714-8001
Practice Address - Street 1:1000 ASYLUM AVE
Practice Address - Street 2:SUITE 2109A
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1770
Practice Address - Country:US
Practice Address - Phone:860-714-6581
Practice Address - Fax:860-714-8311
Is Sole Proprietor?:No
Enumeration Date:2012-05-17
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
CT2776363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program