Individual
BETH R ASHMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2525
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
R27109
ND
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
R27109
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70012
—
ND
Enumeration date
09/30/2009
Last updated
11/27/2012
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