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Contact Information

EVOLVE DERMATOLOGY
401 N 9TH ST
BISMARCK, ND58501-4530
 Phone: 701-712-4899
 Fax: 701-712-4225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for EVOLVE DERMATOLOGY · (Female)

NPI # 1629541172
Status Active
Credentials
Entity Individual
Enumeration date 01/08/2019
Last updated 11/19/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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