Provider Demographics
NPI:1306164116
Name:MINSCER-DASHNER, ALYSIA HELENA (LPN)
Entity type:Individual
Prefix:MRS
First Name:ALYSIA
Middle Name:HELENA
Last Name:MINSCER-DASHNER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 E AMBER LAKE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:MN
Mailing Address - Zip Code:56031-3405
Mailing Address - Country:US
Mailing Address - Phone:507-235-8344
Mailing Address - Fax:
Practice Address - Street 1:918 WILLOW ST
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:MN
Practice Address - Zip Code:56031-4133
Practice Address - Country:US
Practice Address - Phone:507-238-9018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNL61722-8164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse