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General NPI Number Information
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NPI Number | 1952121253
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Entity Type | Individual
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Provider Name | ADRIENNE JO AASAND CNP
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Gender | Female
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Dates
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Enumeration Date | 10/12/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 1580 BEAM AVE
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City | MAPLEWOOD
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State | MN
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Zip | 55109-1127
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Country | US
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Telephone | 651-779-7978
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Fax |
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Provider Business Mailing Address
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Address Line | N6387 1307TH ST
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City | PRESCOTT
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State | WI
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Zip | 54021-7022
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Country | US
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Telephone | 763-458-4649
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 16049-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 16049-33
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 12169
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 12169
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License Number State | MN
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