Individual
ASHLEIGH ELIZABETH MISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2480 WHITE BEAR AVE N STE 104, MAPLEWOOD, MN 55109-4568
(612) 444-3247
(651) 888-9247
Mailing address
2480 WHITE BEAR AVE, SUITE 104, MAPLEWOOD, MN 55109
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11494
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104254192
—
MN
Enumeration date
10/29/2013
Last updated
03/17/2018
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