# ASZANI STODDARD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184021198
- **Authorized official:** MS. ASZANI STODDARD APNP, CNM, MSN (OWNER)
- **Authorized official phone:** (612) 356-4072

## Contact information

- **Practice address:** 970 RAYMOND AVE, SUITE G-10, SAINT PAUL, MN 55114-1146
- **Practice address phone:** (612) 356-4072
- **Practice address fax:** (612) 392-0118
- **Mailing address:** 3605 40TH AVE S, MINNEAPOLIS, MN 55406-2846
- **Mailing address phone:** (612) 356-4072
- **Mailing address fax:** (612) 392-0118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | NULL | Yes |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2014
- **Last updated:** 11/09/2016
