ASHLI WILLOW BOEHM (NPI# 1467059048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467059048 |
Entity Type | Individual |
Full Name | ASHLI WILLOW BOEHM |
Credential | FNP |
Practice Address |
1920 Turning Leaf Ln Sw Alexandria MN 56308-4662 |
Mailing Address |
321 Willow St E Detroit Lakes MN 56501-4005 |
Practice Telephone | 3204608088 |
Mailing Telephone | 7015705303 |
Enumeration Date | 2020-10-06 |
Last Update Date | 2020-10-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1920 TURNING LEAF LN SW |
City | ALEXANDRIA |
State | MN |
Zip Code | 56308-4662 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
Find all providers in zip 56308 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851998041 | Leslie-anne Flego | Student in an Organized Health Care Education/Training Program | 4523 Arendale Sq, Alexandria, VA 22309-1217 | 2020-10-01 |
1285246058 | Corey Scott | Student in an Organized Health Care Education/Training Program | 101 S Reynolds St Apt 416h, Alexandria, VA 22304-3122 | 2020-08-21 |
1497364491 | Adriana Pacheco-figueroa | Student in an Organized Health Care Education/Training Program | 2815 Mosby St, Alexandria, VA 22305-1828 | 2020-07-26 |
1104440197 | Joseph Herman Fernandes | Student in an Organized Health Care Education/Training Program | 1124 Allison St, Alexandria, VA 22302-2418 | 2020-06-04 |
1174143101 | Ashley Neils | Student in an Organized Health Care Education/Training Program | 10 E Walnut St Apt 2, Alexandria, VA 22301-2251 | 2020-04-20 |
1386273910 | Mirahertz Enow Atem | Student in an Organized Health Care Education/Training Program | 5420 N Morgan St Apt 103, Alexandria, VA 22312-3306 | 2020-04-06 |
1548897002 | Pavana Lalithya Sakhamuri | Student in an Organized Health Care Education/Training Program | 5248 Fieldcrest Ave, Alexandria, LA 71303-2400 | 2020-03-25 |
1821625781 | Lindsey Ann France | Student in an Organized Health Care Education/Training Program | 2142 Marye St, Alexandria, LA 71301-6455 | 2020-03-23 |
1154953552 | Chan Hee Kim | Student in an Organized Health Care Education/Training Program | 5401 Cheyenne Knoll Pl, Alexandria, VA 22312-2398 | 2020-02-04 |
1841843570 | Lauren Moore | Student in an Organized Health Care Education/Training Program | 2312 Mount Vernon Ave Ste 201, Alexandria, VA 22301-1375 | 2019-07-22 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 56308 |
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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.