Individual
ASHLEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 FAIRVIEW AVE N STE 200, ROSEVILLE, MN 55113-1306
(651) 633-6883
(651) 528-6276
Mailing address
2720 FAIRVIEW AVE N STE 200, ROSEVILLE, MN 55113-1306
(651) 633-6883
(651) 528-6276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2020
Last updated
10/10/2022
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