ASHLEY DERJANI


Address: 1040 Grand Ave, Saint Paul, MN 55105
Phone: 8663892727

ASHLEY DERJANI (NPI# 1215433073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215433073
Entity Type Individual
Full Name ASHLEY DERJANI
Other Name ASHLEY RAMBERG
Credential CNP
Practice Address 1040 Grand Ave
Saint Paul
MN 55105
Mailing Address 1040 Grand Ave
Saint Paul
MN 55105-3001
Practice Telephone 8663892727
Enumeration Date 2018-04-02
Last Update Date 2020-04-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
5634 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5801 Brooklyn Blvd, Brooklyn Center, MN 55429 8663892727
15800 87th St Ne, Otsego, MN 553306546 7632521316
1040 Grand Ave, Saint Paul, MN 55105 8663892727

Office Location

Street Address 1040 GRAND AVE
City SAINT PAUL
State MN
Zip Code 55105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336134626 Amy Jo Rolfzen Nurse Practitioner 1040 Grand Ave, Saint Paul, MN 55105-3001 2005-09-13
1477173953 Katie Jean Scott Pharmacist 1040 Grand Ave, Saint Paul, MN 55105-3001 2020-04-24
1215562657 Brett Richard Sinner Pharmacist 1040 Grand Ave, Saint Paul, MN 55105-3001 2020-03-05
1508416215 Lisa Stepanov Nurse Practitioner 1040 Grand Ave, Saint Paul, MN 55105-3001 2019-09-14
1720436579 Erin Lamanna Nurse Practitioner 1040 Grand Ave, Saint Paul, MN 55105-3001 2016-06-01
1124392295 Bridget Helen Moe Nurse Practitioner 1040 Grand Ave, Saint Paul, MN 55105-3001 2012-03-06
1336248640 Grand St Paul Cvs LLC Pharmacy 1040 Grand Ave, Saint Paul, MN 55105-3001 2006-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437704020 Grand Avenue Smiles Dentist 1845 Grand Avenue, St. Paul, MN 55105 2019-08-09
1205304839 Michelle Marie Loken Price Acupuncturist 877 Lincoln Ave, Saint Paul, MN 55105 2018-11-13
1326566936 Becky Lynn Lawyer Counselor 1704 Palace Ave, St Paul, MN 55105 2017-09-04
1679020226 Internal Revolution Counseling and Consulting, L.L.C. Psychologist 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 2016-09-01
1487059689 Jennifer Mason Lactation Consultant, Non-RN 1382 Summit Ave, Saint Paul, MN 55105 2014-10-30
1679818850 Marc Lane Wolfson Registered Nurse 1148 Grand Avenue, St. Paul, MN 55105 2012-11-29
1457602781 Charting Your Success Social Worker 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 2012-09-26
1871867549 Stacia Hanson Ma Lp LLC Psychologist 889 Grand Avenue, Suite 203, St Paul, MN 55105 2012-02-28
1265718142 Caitlin Marie Young Midwife 968 Grand Ave., St. Paul, MN 55105 2011-10-24
1659512622 Wellness Cooperative LLC Chiropractor 976 Grand Ave., St. Paul, MN 55105 2009-03-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013535426 Chesley Stanley Nurse Practitioner 3113 Fletcher Dr, Saint Paul, VA 24283-3763 2020-07-13
1568002160 Amazing Grace Health Nurse Practitioner 625 Snelling Ave N Ste A, Saint Paul, MN 55104-5585 2020-01-10
1265907083 Lillia Budd Nurse Practitioner 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 2018-10-08
1710403118 Liv-on Family Care Center, Pa Nurse Practitioner 1210 County Road J Ste 102, Saint Paul, MN 55127-6826 2017-08-17
1225588668 Katie-anne Swenson Nurse Practitioner 2550 University Ave W Ste 325s, Saint Paul, MN 55114-1903 2016-10-10
1619329133 Lamin Jaiteh Nurse Practitioner 2550 University Ave W Ste 325-s, Saint Paul, MN 55114-1052 2016-07-08
1457746281 Florence Fon Nurse Practitioner 5 County Road B E Ste 3, Saint Paul, MN 55117-1945 2015-03-30
1639576994 Angela Denise Lentz Nurse Practitioner 178 9th St E Ste 300, Saint Paul, MN 55101-2577 2014-12-01
1548506405 Mandi Sue Counters Nurse Practitioner 14635 Pennock Ave Ste 200, Saint Paul, MN 55124-6587 2012-12-21
1528315470 Amanda Jeanne Carroll Nurse Practitioner 1358 Kent St, Saint Paul, MN 55117-4226 2012-08-09
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Competitor

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City SAINT PAUL
Zip Code 55105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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