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Individual

ASHLEY J BEASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNP

Contact information

Practice address
525 PORTLAND AVE # MC953, MINNEAPOLIS, MN 55415-1533
(612) 348-5553
Mailing address
525 PORTLAND AVE # MC953, MINNEAPOLIS, MN 55415-1533
(612) 348-5553

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3506
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-06142
MEDICA
MN
01
40D87BE
BLUE CROSS BLUE SHIELD
MN
01
500023681
MEDICARE RAILROAD
MN
05
627696200
MN
Enumeration date
07/18/2006
Last updated
09/16/2024
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