Nurse Practitioner
ASHLEY FATHEREE
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1467021816 · enumerated 2021-06-21 · record updated 2023-08-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 11850 BLACKFOOT ST NW STE 100, COON RAPIDS, MN, 55433-2774 (763) 712-2100 Fax (763) 712-2190 Google Maps Apple Maps OpenStreetMap
- Mailing address 11850 BLACKFOOT ST NW STE 100, COON RAPIDS, MN, 55433-2774 (763) 712-2100 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · License 0024186462 VA
- Nurse Practitioner, Adult Health 363LA2200X · License RN1051347 DC
- Nurse Practitioner 363L00000X · Primary · License 10482 MN
In this directory
Locations and evidence
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Practice location
COON RAPIDS, MN, 554332774
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.