Individual provider · Type 1 NPI

Ashley Fatheree

Nurse Practitioner · Coon Rapids, MN

NPI number 1467021816 Active

Practice location

11850 Blackfoot St NW Ste 100
Coon Rapids, MN 55433-2774

Call (763) 712-2100 Map

Fax (763) 712-2190

Other practice locations

  • 2150 Pennsylvania Ave NW Fl 5, Washington, DC 20037-3201 · (202) 741-2500
  • 8081 Innovation Park Dr, Fairfax, VA 22031-4867 · (571) 472-4724

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X0024186462 (VA)
Adult Health Nurse Practitioner 363LA2200XRN1051347 (DC)
Nurse Practitioner Primary 363L00000X10482 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1467021816

Ashley Fatheree's National Provider Identifier is 1467021816, issued on Jun 21, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Aug 9, 2023.