Individual
NANA OFORIWAA BOATENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7400
Mailing address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R33673
ND
363LX0106X
Occupational Health Nurse Practitioner
R33673
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477538
—
ND
Enumeration date
03/20/2018
Last updated
05/11/2020
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