Individual
ASHLEY DERJANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1040 GRAND AVE, SAINT PAUL, MN 55105
(866) 389-2727
Mailing address
1040 GRAND AVE, SAINT PAUL, MN 55105-3001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5634
MN
Other
Enumeration date
04/02/2018
Last updated
04/15/2020
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