MEDICARE: ASHA YASIN

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
1	374J00000X	Doula	DOUL-377	MN

General Provider Information

NPI Number	:	1053243097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHA YASIN

Provider Business Mailing Address
First Line	:	17037 DYSART PL
Second Line	:
City	:	LAKEVILLE
State	:	MN
Zip	:	55044-5759
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17037 DYSART PL
Second Line	:
City	:	LAKEVILLE
State	:	MN
Zip	:	55044-5759
Country	:	US
Telephone Number	:	612-825-6339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ ASHA YASIN ” Practice Location

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