Provider Demographics
NPI:1114899648
Name:CARLSON, ASHLEY RENEE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:RENEE
Last Name:CARLSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1038 23RD AVE SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-3449
Mailing Address - Country:US
Mailing Address - Phone:507-272-4568
Mailing Address - Fax:
Practice Address - Street 1:1038 23RD AVE SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-3449
Practice Address - Country:US
Practice Address - Phone:507-272-4568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2025043076363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily