Female

Ashley N. Vettleson PA-C

Physician Assistant in Thief River Falls, MN(View on Map)

Full Name

Ashley Nicole Vettleson PA-C

NPI Number

1861121089

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/06/2022

Specialties

(Taxonomies)

Code

363A00000X
363AM0700X

Primary Taxonomy

Yes
No

Licenses

State

Minnesota
North Dakota

License Number

14720
PAC1043

Contact
Information

Purpose

Mailing
Location

Address

3065 DEMERS AVE
1845 HWY 59 S

City

Grand Forks
Thief River Falls

State

ND
MN

Postal Code

58201
56701-4336

Country

US
US

Telephone Number

(701) 780-1891
(218) 681-7280

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/08/2024

Provider Address

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