Individual
AMANDA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NPC
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103
(701) 364-8000
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R37793
ND
Other
Enumeration date
02/03/2017
Last updated
07/17/2018
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