| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LAUREN ASHLEY NEDZELSKI | 1932715448 | 2023-09-08 |
Lauren Ashley Nedzelski [F] graduated in 2020 and primarily specializes in Physician Assistant.
Lauren Ashley Nedzelski is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1932715448. Registration indicates Lauren Ashley Nedzelski is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 5193144491 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Lauren Ashley Nedzelski PA-C |
| Practice Office Address | 300 OLD POND RD STE 201 BRIDGEVILLE, PA US |
| Practice Office Telephone | 4122207323 |
| Practice Office Fax | 4122207325 |
| Mailing Address | 635 SUNSET CIR CRANBERRY TWP, PA 160666706 US |
| Business Telephone | 7246300655 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | MA061848
PA |
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | MA061848
PA |