Provider Demographics
NPI:1558889261
Name:ASPLUND, NATHAN S
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:S
Last Name:ASPLUND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 LILLIE ROBYN LN
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-2786
Mailing Address - Country:US
Mailing Address - Phone:763-248-3789
Mailing Address - Fax:
Practice Address - Street 1:201 LILLIE ROBYN LN
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-2786
Practice Address - Country:US
Practice Address - Phone:763-248-3789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program