Individual
KIFF ELIZABETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 4TH ST S, FARGO, ND 58103-1914
(701) 476-7200
(701) 280-5795
Mailing address
510 4TH ST S, FARGO, ND 58103-1914
(701) 476-7200
(701) 280-5795
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
13418
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
203521
ND
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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