Individual
ASHLEY SOUDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 OXFORD ST, GRAND FORKS, ND 58202-6092
(701) 777-4174
Mailing address
734 GREAT PLAINS CT, GRAND FORKS, ND 58201-7248
(727) 459-8625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R51326
ND
367500000X
Certified Registered Nurse Anesthetist
Primary
10032561
OR
Other
Enumeration date
06/28/2023
Last updated
01/24/2025
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