Individual
CHENOA R GIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 NORTH RIVER RD, FORT YATES, ND 58538
(701) 854-3831
Mailing address
PO BOX 451, FORT YATES, ND 58538-0451
(701) 854-7088
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R35996
ND
Other
Enumeration date
04/27/2011
Last updated
02/21/2014
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