Provider Demographics
NPI:1831595875
Name:CUTT, ASHLEIGH (PA-C)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:CUTT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:
Other - Last Name:WARNTJES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3800 PARK NICOLLET BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-2527
Mailing Address - Country:US
Mailing Address - Phone:952-993-1190
Mailing Address - Fax:952-993-0960
Practice Address - Street 1:3800 PARK NICOLLET BLVD STE 150
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2527
Practice Address - Country:US
Practice Address - Phone:952-993-1190
Practice Address - Fax:952-993-0960
Is Sole Proprietor?:No
Enumeration Date:2014-11-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11702363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant