Individual
BRANDI L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CNP
Contact information
Practice address
2700 STATE ST, BISMARCK, ND 58503-0669
(701) 712-4500
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R45842
ND
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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