Healthcare Provider Details

I. General information

NPI: 1750022612
Provider Name (Legal Business Name): ASINARD VUE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 04/05/2022
Certification Date: 04/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2365 MCKNIGHT RD N
NORTH SAINT PAUL MN
55109-2238
US

IV. Provider business mailing address

2365 MCKNIGHT RD N
NORTH SAINT PAUL MN
55109-2238
US

V. Phone/Fax

Practice location:
  • Phone: 651-760-3236
  • Fax: 651-222-6025
Mailing address:
  • Phone: 651-760-3236
  • Fax: 651-222-6025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: