1124505318 NPI number — DR. ASHLEY NICOLE DOSEN AU.D.

Table of content: DR. ASHLEY NICOLE DOSEN AU.D. (NPI 1124505318)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124505318 NPI number — DR. ASHLEY NICOLE DOSEN AU.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DOSEN
Provider First Name:
ASHLEY
Provider Middle Name:
NICOLE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
AU.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JOHNSON
Provider Other First Name:
ASHLEY
Provider Other Middle Name:
NICOLE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
AUD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1124505318
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8301 GOLDEN VALLEY RD
Provider Second Line Business Mailing Address:
STE 200
Provider Business Mailing Address City Name:
GOLDEN VALLEY
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55427
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
763-233-5755
Provider Business Mailing Address Fax Number:
763-233-5782

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8301 GOLDEN VALLEY RD
Provider Second Line Business Practice Location Address:
STE 200
Provider Business Practice Location Address City Name:
GOLDEN VALLEY
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
763-233-5755
Provider Business Practice Location Address Fax Number:
763-233-5782
Provider Enumeration Date:
07/20/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)