Individual
CYNTHIA LARAMY AHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CNP
Contact information
Practice address
9574 FOLEY BOULEVARD NW, HEAD START BUILDING, COON RAPIDS, MN 55433
(763) 783-3722
(763) 783-7944
Mailing address
9574 FOLEY BOULEVARD NW, HEAD START BUILDING, COON RAPIDS, MN 55433
(763) 783-3722
(763) 783-7944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1316311
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1203356
MEDICA
MN
01
—
31258AH
BLUE CROSS BLUE SHIELD
MN
Enumeration date
06/21/2006
Last updated
07/08/2007
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