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NPI Code Detail

MEDICARE: ASHLEY NICOLE FAUR

MEDICARE: ASHLEY NICOLE FAUR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1275460859
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY NICOLE FAUR
Provider Business Mailing Address
First Line : 8200 COUNTRY VIEW DR
Second Line :
City : PINE CITY
State : MN
Zip : 55063-5858
Country : US
Telephone Number : 320-279-0227
Fax Number :
Provider Business Practice Location Address
First Line : 101 ELM AVE SE
Second Line :
City : ROANOKE
State : VA
Zip : 24013-2222
Country : US
Telephone Number : 540-831-1684
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “ ASHLEY NICOLE FAUR ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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