Provider Demographics
NPI:1992012710
Name:HESS, AUBREY LYNN (PA)
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:LYNN
Last Name:HESS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:AUBREY
Other - Middle Name:LYNN
Other - Last Name:GERHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPAS, PA
Mailing Address - Street 1:4541 52ND AVE S
Mailing Address - Street 2:STE 100
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-5565
Mailing Address - Country:US
Mailing Address - Phone:701-552-6578
Mailing Address - Fax:701-380-5115
Practice Address - Street 1:4541 52ND AVE S
Practice Address - Street 2:SUITE 100
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104
Practice Address - Country:US
Practice Address - Phone:701-552-6578
Practice Address - Fax:701-380-5115
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002142363A00000X
SD0817363A00000X
NDPAC0636363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant