Provider Demographics
NPI:1639069115
Name:ASHMEN, BRIANNA LUANN RIDGWAY (PA-C)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:LUANN RIDGWAY
Last Name:ASHMEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 E RATTLING RUN RD
Mailing Address - Street 2:
Mailing Address - City:MICKLETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08056-1427
Mailing Address - Country:US
Mailing Address - Phone:856-693-6443
Mailing Address - Fax:
Practice Address - Street 1:43 E RATTLING RUN RD
Practice Address - Street 2:
Practice Address - City:MICKLETON
Practice Address - State:NJ
Practice Address - Zip Code:08056-1427
Practice Address - Country:US
Practice Address - Phone:856-693-6443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant