Provider Demographics
NPI:1043865744
Name:DURAND, ASHLEY ANN (DC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:DURAND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ANN
Other - Last Name:PEARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3324 PROMENADE AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-2260
Mailing Address - Country:US
Mailing Address - Phone:651-456-8776
Mailing Address - Fax:
Practice Address - Street 1:3324 PROMENADE AVE STE 106
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-2260
Practice Address - Country:US
Practice Address - Phone:651-456-8776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor