Individual
DEVON NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3674 S WASHINGTON ST, GRAND FORKS, ND 58201-5766
(701) 205-3000
(701) 732-2501
Mailing address
PO BOX 5210, GRAND FORKS, ND 58206-5210
(701) 205-3000
(701) 732-2501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11467955-1206
UT
363A00000X
Physician Assistant
13224
MN
363A00000X
Physician Assistant
153663
AK
363A00000X
Physician Assistant
Primary
PAC0802
ND
363A00000X
Physician Assistant
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1478558
—
ND
Enumeration date
08/01/2019
Last updated
01/22/2026
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