Provider Demographics
NPI:1003659772
Name:HEIBEL, ASHLEY SABIN (FNP-C)
Entity type:Individual
Prefix:MR
First Name:ASHLEY
Middle Name:SABIN
Last Name:HEIBEL
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 3RD ST S
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MN
Mailing Address - Zip Code:55333-1203
Mailing Address - Country:US
Mailing Address - Phone:573-289-3409
Mailing Address - Fax:
Practice Address - Street 1:920 BELL AVE
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:MN
Practice Address - Zip Code:56183-9669
Practice Address - Country:US
Practice Address - Phone:507-274-1150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-18
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1895683163WG0000X
MN11726363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice