Individual provider · NPI-1

Kayla Ash

Nurse Practitioner, Family · Saint Cloud, MN

NPI number1649758145
StatusActive
Last updated in NPPESAug 6, 2018

Details

NPI
1649758145
Entity type
Individual (NPI-1)
Name
Kayla Ash
Sex
Female
Sole proprietor
No
Enumeration date
Aug 6, 2018
Last updated
Aug 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2151012MNYes

Practice location

1555 Northway Dr Ste 100
Saint Cloud, MN 56303-1258

Phone 320-240-3114

Mailing address

14468 170th St
Milaca, MN 56353-3219

Phone 320-291-9388

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