Lookup NPI Numbers from the NPI Registry
NPI Profile for MCKENZIE A DISRUD in GRAND FORKS, ND.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1265093124 |
|
| Status | Active | |
| Credentials | FNP (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 06/21/2019 | |
| Last updated | 01/30/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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MCKENZIE A DISRUD
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MCKENZIE A DISRUD, FNP