Individual
ASHLEY LYNN WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1415 LILAC DR N STE 190, GOLDEN VALLEY, MN 55422-4544
(763) 267-8701
Mailing address
5630 XENIA AVE N, CRYSTAL, MN 55429-2729
(612) 986-9892
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10260
MN
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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