Healthcare Provider Details

I. General information

NPI: 1699664250
Provider Name (Legal Business Name): ASHLEY NICOLE HOWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 14TH AVE S
GRAND FORKS ND
58201-4042
US

IV. Provider business mailing address

PO BOX 860939
MINNEAPOLIS MN
55486-0939
US

V. Phone/Fax

Practice location:
  • Phone: 701-787-7999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number202870
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number202870
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: