Individual
ASHLI WILLOW BOEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
435 32ND AVE E, WEST FARGO, ND 58078-7923
(701) 205-3088
Mailing address
23907 COUNTY HIGHWAY 32, DETROIT LAKES, MN 56501-7804
(701) 570-5303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R41822
ND
363LP2300X
Primary Care Nurse Practitioner
Primary
7836
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/06/2020
Last updated
07/06/2022
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