Provider Demographics
NPI:1407549405
Name:KORAN, ASHLEY (RNA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:KORAN
Suffix:
Gender:F
Credentials:RNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 COTTAGE AVE W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-4302
Mailing Address - Country:US
Mailing Address - Phone:651-261-2924
Mailing Address - Fax:
Practice Address - Street 1:276 COTTAGE AVE W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-4302
Practice Address - Country:US
Practice Address - Phone:651-261-2924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health