Basic Information
Provider Information
NPI: 1336364413
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASHTON
FirstName: MARGARET
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1055 WESTGATE DRIVE
Address2: SUITE 190
City: ST PAUL
State: MN
PostalCode: 55114
CountryCode: US
TelephoneNumber: 6513121500
FaxNumber: 6513121593
Practice Location
Address1: 2800 CHICAGO AVENUE SOUTH
Address2: SUITE 300
City: MINNEAPOLIS
State: MN
PostalCode: 554071353
CountryCode: US
TelephoneNumber: 6512257800
FaxNumber: 6512257820
Other Information
ProviderEnumerationDate: 04/16/2007
LastUpdateDate: 02/26/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XR1631122MNY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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