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Individual

KYRA DECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, AGACNP-BC

Contact information

Practice address
4000 28TH AVE S, MOORHEAD, MN 56560
(701) 234-3261
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0991102
CO
363L00000X
Nurse Practitioner
5522
MN
363L00000X
Nurse Practitioner
Primary
R45239
ND
363LA2100X
Acute Care Nurse Practitioner
0991102
CO

Other

Enumeration date
04/14/2014
Last updated
02/24/2024
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