Provider Demographics
NPI:1669826871
Name:SOEGAARD, ASPEN TWILIGHT (CNM/WHNP)
Entity Type:Individual
Prefix:
First Name:ASPEN
Middle Name:TWILIGHT
Last Name:SOEGAARD
Suffix:
Gender:F
Credentials:CNM/WHNP
Other - Prefix:
Other - First Name:ASPEN
Other - Middle Name:
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8645 N MILITARY TRL STE 508
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6296
Mailing Address - Country:US
Mailing Address - Phone:561-630-8001
Mailing Address - Fax:561-630-8007
Practice Address - Street 1:1801 SE HILLMOOR DR STE B-101
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-7545
Practice Address - Country:US
Practice Address - Phone:772-807-8480
Practice Address - Fax:772-878-1276
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130391363LW0102X, 367A00000X
FLAPRN9440336363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife