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NPI Code Detail

MEDICARE: ASHLEY WARNE

MEDICARE: ASHLEY WARNE
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
1390200000XStudent in an Organized Health Care Education/Training Program
2363A00000XPhysician Assistant14999MN

General Provider Information

NPI Number : 1578264214
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY WARNE
Provider Business Mailing Address
First Line : 28343 ISLAND LAKE RD
Second Line :
City : COLD SPRING
State : MN
Zip : 56320-9646
Country : US
Telephone Number : 320-292-4760
Fax Number :
Provider Business Practice Location Address
First Line : 200 W 1ST ST
Second Line :
City : PAYNESVILLE
State : MN
Zip : 56362-1445
Country : US
Telephone Number : 320-243-3767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2023
Last Update Date : 01/19/2026

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