Individual
LAUREL A MCKEEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, SNM
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104
(701) 417-2575
(701) 417-2535
Mailing address
PO BOX 2010, FARGO, ND 58122-2484
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
R1316065
MN
367A00000X
Advanced Practice Midwife
Primary
R22671
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
08/10/2010
Last updated
11/28/2018
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