Individual
KYRIE MARIE SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
4622 40TH AVE S, SUITE A, FARGO, ND 58104
(701) 364-2909
(701) 364-9822
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R37913
ND
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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