Individual
ANGELA ASHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 SMITH AVE N STE 404, SAINT PAUL, MN 55102-2346
(651) 220-6624
Mailing address
9765 GARRISON WAY, EDEN PRAIRIE, MN 55347-3040
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5590
MN
Other
Enumeration date
09/25/2018
Last updated
10/17/2018
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