Ashley Blaine, CNM | |
6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | |
(952) 993-4900 | |
(952) 993-4827 |
Full Name | Ashley Blaine |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 6000 Earle Brown Dr, Brooklyn Center, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174291504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 473 (Minnesota) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
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Ashley Blaine, CNM 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Ashley Blaine, CNM 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 Ph: (952) 993-4900 |
Patricia Haroldson, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900 | |
Sabrina Sophie Zionts, CNM, WHNP-BC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900 Fax: 952-993-4827 | |
Colleen Kay Rusch, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6845 Lee Ave N, Mail Stop 31400a, Brooklyn Center, MN 55429 Phone: 763-569-0300 Fax: 763-569-0311 |