IndividualActive
Ashley Sivanich, PA
NPI 1427561802 · Physician Assistant · Waconia, MN
Provider details
- NPI number
- 1427561802
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12477 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
424 W State Highway 5
Waconia, MN 55387-1723
Phone: (952) 442-4461
Approximate (ZIP-level) locationGet directions
Mailing address
8598 Ambergate Dr
Victoria, MN 55386-2703
Registry dates
- Enumerated
- 2017-11-08
- Last updated
- 2017-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.