Cynthia Laramy Ahler, RN CNP – Nurse Practitioner

Key facts

NPI: 1295771996
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: R1316311 (MN)
Practice address: 9574 Foley Boulevard NW
Head Start Building
Coon Rapids, MN 55433
Phone: (763) 783-3722
Fax: (763) 783-7944
NPI assigned: Jun 21, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Neighborhood Healthsource Federally Qualified Health Center (FQHC) · Coon Rapids, MN · NPI 1659323459

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Certified Nurse Practitioner, Registered Nurse

Practice roles

Organization	Specialty	Status	New patients
Neighborhood Healthsource		Past since Jul 6, 2005	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nurse Practitioner	363L00000X	R1316311	MN	Yes

Addresses

Primary practice location

9574 Foley Boulevard NW
Head Start Building
Coon Rapids, MN 55433

Mailing address

9574 Foley Boulevard NW
Head Start Building
Coon Rapids, MN 55433
Phone (763) 783-3722

Other identifiers

Identifier	Type	State	Issuer
1203356	Other	MN	MEDICA
31258AH	Other	MN	BLUE CROSS BLUE SHIELD

Other names

Cynthia Laramy Evans Former name

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Obinna E. Agujiobi, M.D.
Shannon V Ahern, DPT
Nicolle Renee Ahles-Moses, APRN, CNP
Gina Marie Ahlness, APRN ,CNP
Naseer Ahmad, M.D.
Ahmed Ahmed
Mohammed NMN Ahmed, MD

All providers in Coon Rapids, MN · Nurse Practitioner in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.