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NPI Profile for BREAKAWAY FUNCTIONAL MEDICINE in BISMARCK, ND.
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Health & Wellness Coach |
171400000X |
| NPI # | 1780528307 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/15/2026 | |
| Last updated | 04/15/2026 - About 2 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BREAKAWAY FUNCTIONAL MEDICINE
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| ENLIGHTEN HEALTHCARE PLLC 1800 BURLINGTON DRIVE BISMARCK, ND |
| CHRISTINA R GISVOLD, FNP-C 300 N 7TH ST BISMARCK, ND |
| RHONDA D DOCKTER JOLLIFFE, MSN, ARNP, FNP 1001 GATEWAY AVENUE BISMARCK, ND |
| GLORIA D WOLF, FNP 900 E BROADWAY AVENUE BISMARCK, ND |
| CONNIE J KADRMAS, FNP-BC 515 E BROADWAY AVE BISMARCK, ND |
| ANITA M FRU 310 N 10TH ST BISMARCK, ND |
| JEAN TOMAN, NP 2500 SUNSET DRIVE NW BISMARCK, ND |
| KELLIE WEISENBURGER, FNP 87 LINCOLN AVE UNDERWOOD, ND |
| SUSAN WARDNER, FNP 416 KUNDERT ST TURTLE LAKE, ND |
| KERRI D BENNING, FNP-C 104 MAIN STREET TURTLE LAKE, ND |
BREAKAWAY FUNCTIONAL MEDICINE