NPI Profile for CONVENIENT CARE CLINIC PLLC in WEST FARGO, ND.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner |
| NPI Number | 1457017444 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/13/2021 | |
| Last updated | 03/14/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CONVENIENT CARE CLINIC, PLLC
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