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NPI Profile for CARRIE MECKLE in FORT YATES, ND.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1558799015 |
|
| Status | Active | |
| Credentials | FNP (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 10/21/2013 | |
| Last updated | 06/02/2014 - About 12 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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CARRIE MECKLE
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CARRIE MECKLE, FNP