| NPI | 1679200372 |
|---|---|
| Former Name | ASHLEY MARIE RYDBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: MN 11343) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 13280) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: WI 13280-33) | |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2024-10-10 |