Individual
ASHLEY KAY GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2165 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-2707
(651) 523-9800
(651) 523-9801
Mailing address
PO BOX 1309, MAIL STOP 21110Q, MINNEAPOLIS, MN 55440-1309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1959464
MN
363L00000X
Nurse Practitioner
Primary
9201
MN
363LF0000X
Family Nurse Practitioner
9201
MN
Other
Enumeration date
04/07/2022
Last updated
06/06/2022
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