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Individual

MS. ASZANI STODDARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, CNM, MSN

Contact information

Practice address
1619 DAYTON AVE STE 109, SAINT PAUL, MN 55104-6276
(651) 237-9665
(612) 392-0118
Mailing address
3605 40TH AVE S, MINNEAPOLIS, MN 55406-2846
(612) 356-4072
(612) 392-0118

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
137182-32
WI
367A00000X
Advanced Practice Midwife
Primary
CNM 0256
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184021198
MN
05
38256900
WI
Enumeration date
07/07/2005
Last updated
05/05/2021
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