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Ashli Willow Boehm, FNP
Primary Care Nurse Practitioner in West Fargo, North Dakota
NPI 1467059048

Ashli Willow Boehm is a Primary Care Nurse Practitioner based in Detroit Lakes, ND and is specialized in Primary Care. Ashli Willow Boehm practices in West Fargo, ND and has the professional credentials of FNP. The NPI Number for Ashli Willow Boehm is 1467059048 and holds a License No. R41822 (North Dakota).

The current practice location address for Ashli Willow Boehm is 435 32Nd Ave E, West Fargo, ND and can be reached out via phone at 701-205-3088. You can also correspond with Ashli Willow Boehm through the mailing address at 23907 COUNTY HIGHWAY 32, DETROIT LAKES, MN - 56501-7804 (mailing address contact number: 701-570-5303).

Location: 435 32Nd Ave E, West Fargo, ND, 56501-7804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467059048
Provider Name
Ashli Willow Boehm
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
435 32Nd Ave E, West Fargo, ND, 56501-7804
Phone Number
701-205-3088
Fax Number
Provider Enumeration Date
10/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
435 32Nd Ave E
City
West Fargo
State
North Dakota
Zip
58078-7923
Phone Number
701-205-3088
Fax Number
person
Provider Business Mailing Address Details
Address
23907 County Highway 32
City
Detroit Lakes
State
Minnesota
Zip
56501-7804
Phone Number
701-570-5303
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
7836 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
R41822 (North Dakota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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